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vi�y vi `cN1 1y 11 un0 I ci 1 i nL nNNut.auv°° .. <br /> Building Department <br /> late Received Phone Contact for Permitting p } of <br /> i-A-D-I-1-17-I- may 11111211 <br /> �i -I I I I H I A it I I <br /> - <br /> )wner's Name Pt a { ( D i`l,1_t l�U M )G�I�{� i✓L Owner Phone Number <br /> )wner'sAddress Owner Phone Number <br /> 'ee Simple Titleholder Name /A Owner Phone Number <br /> 'ee Simple Titleholder Address I A <br /> 3� v <br /> OB ADDRESS CY � S `� e/ LOT# <br /> IUBDIVISION oivv5©� " S� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VORK PROPOSED ® NEW CONSTR 8 ADD/ALT SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE 0 SFR. 0 COMM OTHER <br /> YPE OF CONSTRUCTION Z]r ' ``13LO�ICK Q FRAME STEEL <br /> )ESCRIPTION OF WORK / GCJ �IJ n S uL �rJ S/n ��Fa"M/GL <br /> _70 <br /> 3UlLDING SIZE Rai' SQ FOOTAGE HEIGHT <br /> BUILDING $ % � VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> =ELECTRICAL Is 6)j AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ / a VALUATION;OF MECHANICAL INSTALLATION /3 <br /> ICJ � <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> :INISHED FLOOR ELEVATIONS /7> {_ / FLOOD ZONE AREA AYES NO <br /> 3UILDER COMPANY id �� ' 010"p& ^ <br /> SIGNATURE �" �^ /" REGISTERED Y/ N FEE CURREN /1 Y/N J <br /> rojpJ 5i w/G' '1/�/l�9eit�i��,33`�� License# �JG/�-�r!G o/i <br /> Address ` <br /> ELECTRICIAN COMPANY eJkG�'L�'�- <br /> SIGNATURE y REGISTERED Y/ N FEE CURREN Y/N <br /> Address I IT 6"1 la V R� d v L License# , <br /> ?LUMBER COMPANY UM <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREN YIN <br /> Address iVv 3 t'/GJr/�u z�,FG3 7 �J License# l- G `7�7_-� -7-7 <br /> MECHANICAL COMPANY 19)CCi?�6 '!,Y Cori/�i1m/ lam /I <br /> SIGNATURE REGISTERED I Y/ NJ FEE CURREN <br /> l� GI5�s1,FL 3 �(r'-7 License# I 3 2 l0 <br /> Address e s / <br /> OTHER COMPANY 121Gd <br /> SIGNATURE Ilg3 � fir el} REGISTERED Y/ N FEE CURREN Y/N <br /> Address ig/ / License#G -� 1 �111111 .111111l111III111111111111111111111l11 ! ! IllilIIIIIIIIIIIIIIIII <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 /> ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ r ■ ■ ■ ■ r ■­ ■ ■ r ■ ■ ■ ■—■ a ■ ■ ■ ■ ■ ■ n ■ ■ ■ . ■ ■ ■ ■ ■ <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 />