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WILY V] L%'FllyqkllllY I <br /> Building Department <br /> a Received Phone Contact for Permitting F( <br /> X13'_ <br /> ner's Name Owner Phone Number <br /> ,nees Address Fallen bull 'Ti,VWJ Owner Phone Number <br /> �Simple Titleholder Name F 0A Owner Phone Number <br /> ?Simple Titleholder Address 0A <br /> B ADDRESS LOT# <br /> BDIVISION VE Sli PARCEL I I)# ialaq 04` 'Ico <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> )RK PROPOSED NEW CONSTR R A DDIALT' SIGN DEMOLISH <br /> INSTALL REPAIR <br /> ,OPOSED USE FX SFR 0 COMM OTHER <br /> 'PE OF CONSTRUCTION BLOCK FRAME STEEL <br /> 5;n� Fe-'hj I' <br /> OF WORK FZ ILI <br /> JILDING SIZE Sit FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL I' IN171.00 i AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F'_J SPECIALTY OTHER <br /> iNISHED FLOOR ELEVATIONS qo,-7 /,7 FLOOD ZONE AREA OYES NO <br /> UILDER COMPANY <br /> IGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address 33T91 License# <br /> LECTRICIAN fen I I COMPANY <br /> IGNATURE REGISTERED YIN FEECURREIN LILN J <br /> Address License# FCC -�R <br /> LUMBER COMPANY <br /> IGNATURE REGISTERED Y/ N-1 FEE CURREK LY l N <br /> Address3133 I License# � IF6,/qR 7 A 7_7 <br /> IECHANICAL COMPANY 119)41-45 & (0W1hA`#k_6 <br /> 4GNATURE REGISTERED Y/ N FEE CURRE <br /> QA10) Li <br /> -71 (6123 <br /> License# <br /> Address <br /> )THER COMPANY <br /> _J)IGNATURE REGISTERED Y/ N FEE CURR61% Y/N <br /> Address License# <br /> i�ESIDENTIAL 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 onafte.Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site-Work Permit for subdivisionsilarge projects <br /> Z:OMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW 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 coritoletely. <br /> Owner&Contractor sign back of applica tion,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 />