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,- .,—u �..ILy UI i.ep ip inns rerma tAppncation rax-o lj-rou-uucl <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> € € € € a SEEEaaa € _ <br /> Owner's Name `` r,�.F�: %r ) G. �U?�� y ,.Cc Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ! ' ( /! r���s G'i_ J �!'��I�'( L � J LOT# <br /> SUBDIVISION n.�i� PARCEL ID# <br /> (OBTAINED FROM PRbPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT u SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM �� OTHER j>�r <br /> TYPE OF CONSTRUCTION = BLOCK Q) FRAME /= STEEL <br /> G,/� <br /> DESCRIPTION OF WORK I�� �/ �L �j/� �� �r�� v� 'O)- � <br /> BUILDING SIZE O / �� SQ FOOTAGE � HEIGHT / /— , <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY�i= W.R.E.C. <br /> Grt'L2�r�(ij-j�- <br /> =PLUMBING $ U Q <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY OTHER <br /> FINISHED.FLOOR ELEVATIONS O �� FLOOD ZONE AREA =YES NO <br /> I j <br /> BUILDER COMPANY II <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 'REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address /j\J///� ( License# <br /> OTHER �COMPANY ,CCGi��C��.. -• ✓!Gr`)G� ���w�. '�(N a/i <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N � <br /> Address License# <br /> It � lEid9.9a1911a.i9F164i6ff99lfl€ l gitii8 CHI[ i$ v@.aiiilasiii ll1. 0gattattrialla &le igualal <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(2)complete sets of Building Plans plus a Life Safety Page;(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: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application, notarized <br /> If over$2500,a Notice of Commencement is required.(A/C upgrades over$7500) <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />