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j Building Department <br /> • � I Q a <br /> Phone Contact for Permitting 0'J - wq-1 <br /> Date Received a V a <br /> ��Owner's Name v I{ �1 S � -0 K_ UaSv Owner Phone Number J ` u U `�`"' �D., . <br /> Owner's Address PF51 i. S4 h (f l I k 5 Owner Phone Number <br /> Fee Simple Titleholder Name i Owner Phone Number <br /> Fee Simple Titleholder Address LOT5c d U� S � 335((a <br /> JOB ADDRESS # 2 <br /> SUBDIVISION (( �hf I lS PARCEL ID# c���.d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 MOVE DEMOLISH <br /> e INSTALL e REPAIR <br /> o <br /> PROPOSED USE 0! SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL 0 OTHER <br /> DESCRIPTION OF WORK ��-� � 5 S ul'e/es_ CAA F -TPd FI. ' 5a93 f <br /> BUILDING SIZE so rooTAGE E HEirH C <br /> BUILDING $ (( � l J a 6/ VALUATION Of TOTAL CONSTRUCTION" <br /> [� ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C, <br /> 0 PLUMBING $ <br /> I <br /> 0 MECHANICAL $ ; VALUATION OF MECHANICAL INSTALLATI N <br /> 0 GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS• FLOOD ZONE AREA DYES ONO. <br /> -... __BUILDER.... . COMPANY <br /> _. <br /> SIGNATURE I I REGISTERED YI / N I FEE CURRENT Y/N <br /> Address License# ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Ly/N <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address i I License# <br /> MECHANICAL i COMPANY <br /> SIGNATURE RO�ISYERED Y/ N FEE CURRENT Y/N <br /> Address ! License#L-A <br /> '�'1/1 <br /> OTHER COMPANY r <br /> SIGNATURE _ d RE018`PEREtl N FEE CU.RREN# I Yy N <br /> � S 1 C � U65.Address . . <br /> RESIDENTIAL Attach(2)Plo;t Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, ' <br /> Minimum ten,(I b)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/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 /> I <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$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 i Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />