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Building Department <br /> 7 <br /> Date Received 1 a Oa(� Phone Contact for Permitting lJ ✓ 1i -- 009 <br /> ()mCY s GPIs er Owner Phone Number -785 ^/0 T <br /> Owner's Name (� <br /> Owner's Address V� `�� (�S ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS nq o ' "aw mt Vie, LOT# 50 <br /> I [1 <br /> SUBDIVISION Se-�'i0 UQftC, P1 PARCELID# O`I ^.C]U�� ''oU(�Q ~.00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT SIGN 0 MOVE DEMOLISH <br /> INSTALL REPAIR j <br /> ro <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER I <br /> TYPE OF CONSTRUCTION BLOC 0 FRAME 0 STEEL Q OTHER <br /> DESCRIPTION OF WORK P1a� rC-(out a5 vafeS��m,IC� <br /> SY iC <br /> BUILDING SIZE, SQ FOOTAGE HEIGHT r * 16 W6'I <br /> csrUBUILDING $ ! 3 <br /> O VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> 0 PLUMBING $ <br /> • I <br /> i <br /> [� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE �, 1_ w REGISTERED / N ' FEE CUR T Lo <br /> /N <br /> Address 39 5 lkllus A 335� I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects . <br /> COMMERCIAL. Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W.Permit for new construction. <br /> —-Minimum ten-(10)working days after submittal date. Required onsite,-Construction Plans;Stormwater Plans-w/-Sllt-Fence-installed; = <br /> .Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. j <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized I <br /> N over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> #" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over-Counter if on-pubildloadways..needs ROW <br />