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Building Department 7v v 7 7,,2, <br /> Date Received 8 a10) Phone Contact for Permitting <br /> Owner's Name cW rol* I C�I@ALL r Orf e�� Owner Phone Number l°f <br /> Owner's Address p / V U�` i� h iF�'S r / Owner Phone Number <br /> i . <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38 I�V �U�� n cl (Y li S `C I LOT# <br /> / n ( //�� •� /� '�/� 7� /� <br /> SUBDIVISION l�,t l� Des+ 1 I�_ PARCEL ID# <br /> (OBTAINED FROM PROPER7TAX NOTICE) <br /> WORK PROPOSED'. NEW CONSTR B ADD/ALT SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIRP �nnT <br /> PROPOSED USE 0 SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION ' Q BLOCK 0 FRAME 0 STEEL OTHER <br /> DESCRIPTION OF WORK �Q� �e-� � �US� � �iS Ire 15h� �( �ola�, ( jS t�- IL o(lbl1(�;(kt <br /> tuuAo 'I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 5 l a S Q e <br /> Ele BUILDING $ /�/�/16 VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ VVV AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> i • <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS ROOFING, 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA DYES QI NO <br /> i <br /> BUILDER I COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRENT <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 LYLN_j FEE CURRENT Y/N <br /> i <br /> Address _ License(# <br /> OTHER I COMPANY <br /> SIGNATURE (J1JQd4 <br /> � U O� REGIS7E�2b Y/_N pEe Ouk NT Y N <br /> I <br /> Address �� S R S�( ��1c 5 � 3�J License# [CCcc3 __ IV:'`-�• <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(1b).working days after submittal date. Required onsite,Construction Plans,Stormw i ter Plans w/Silt Fence installed, <br /> Sanitary Facilities&'1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL, Attach(3)sets of 4Building'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. I . <br /> "PROPERTY SURVEY required for all NEW construction. <br /> i <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized j <br /> If 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 public r'oaclWajrs:.neecls ROW <br />