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I <br /> Building Department <br /> Date Receivedp2 .�6 aOd Phone Contact for Permitting'rTITI-1-M......... F( �•� Rp -- `i- <br /> ............. <br /> Owner's Name earr LU, Owner Phone Number 170 <br /> Owner's Address r' �• !��oc,l�f on �PIGQ Sun C�� Can b-� F Owner Phone Number � <br /> Fee Simple Titleholder Name ; Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS cJ Ve- f h( � 5 �I 1 I LOT# . <br /> SUBDIVISION Cl T PARCEL ID# <br /> i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT r SIGN MOVE Q DEMOLISH <br /> e INSTALL P <br /> � 0 REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK -(CO-F. '1. is 26mVO Qs haA sh�o )e3 .``I1, l .35�4 <br /> BUILDING SIZE SQFOOTAGEDU0:. HEIGHT j 3LIa a� e <br /> BUILDING $ / C q-. DO 77 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ [D J l AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> 0 PLUMBING $ ' <br /> 0 MECHANICAL $ 1. <br /> VALUATION OF MECHANICAL INSTAL I TION <br /> 0 GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS! FLOOD ZONE AREA =Yi S �]I NO <br /> I <br /> j <br /> BUILDER COMPANY <br /> SIGNATURE l REGISTERED Y/ N FEE CURRENT j YIN <br /> Address License# <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT Y I N <br /> Address License# <br /> OTHER C)O(— COMPANY <br /> SIGNATURE REGISTERED Yy N - I EE CLXRENT (' Y N <br /> Address �O�I.J I ` i I�S I 335 I License# j LX-�••�. <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;Storrnwater'Plans w/Silt Fence iristalled;' <br /> Sanitary Facilities&A 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/Silt 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. �. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: t <br /> Fill out application completely. I <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) i. <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`oJer Counter if:on public roadways..needs ROW <br /> �. _' <br />