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Building Department <br /> late Received Phone Contact for Pennitting <br /> )wner's Name Rt l+( I}U f11L Go )G[.II L L,� Owner Phone Number ��—"1�� •J I'J <br /> )wner's Address �l<(lZ S' FCt l4ti bur 0, ►Jirbl l" L Owner Phone Number <br /> :ee Simple Titleholder Name /f v Owner Phone Number <br /> 'ee Simple Titleholder Address !A <br /> 1013 ADDRESS f `7 /Jj G�f/( D� L G/��/r s �i✓" LOT# r� <br /> SUBDIVISION �(,�„ILS� PARCEL ID# "-2&-?Il <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED NEW CONSTR ADD/ALT SIGN = Q DEMOLISH <br /> ® INSTALL R <br /> REPAIR <br /> IROPOSED USE ® SFR 0 COMM. C] OTHER <br /> YPE OF CONSTRUCTION �C `-BLOCK' Q FRAME rSTEEL [� <br /> )ESCRIPTION OF WORK �W �av n i l �G�1 n �C/'GL�yI t <br /> WILDING SIZE •°�j J1 ��� - __4 l Il <br /> O SQ FOOTAGE HEIGHT �. ' 5 . <br /> =BUILDING. $ /" VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W"R.E.C. <br /> �13a5,pC� <br /> =PLUMBING $ ULx <br /> =MECHANICA! $ VALUATION OF MECHANICAL INSTALLATION J <br /> =GAS ROOFING = SPECIALTY OTHER II � <br /> =1NISHED FLOOR ELEVATIONS /--/ FLOOD ZONE AREA OYES NO <br /> 3UILDER COMPANY u�ac_ _61"( i mom <br /> SIGNATURE `` REGISTERED Y/ N FEE CURREN Y/N <br /> Address Me/I/owy A lF,3 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address t3 1 h lCL / a, a/,K, t_ r <br /> , II License�# Ec���37�J <br /> ?LUMBER COMPANY V�. / � -, -��1 <br /> SIGNATURE ,l REGISTERED Y/ N FEE CURREN <br /> Address 3/33di 3 �jlJ(1u iFL-347Y License# C- �a7a -7-7 <br /> MECHANICAL COMPANY g&111_1�6 /7lP W dl�&111214z �I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN <br /> b(/3/7Gnt6Y1 f9Ul� GYStr1,F(� 3r,1�(�-7 <br /> Address License % /!23 2-y <br /> �1 <br /> OTHER COMPANY 61 A/Ins-90 �a_Id <br /> SIGNATURE ZQ REGISTERED Y/ N FEE CURREN Y/N�— <br /> Address �193i�rvin ot) a) a,3 License# <br /> Illlillilllllliiilllllllilllilllllillll1111111111illlllllllllllillll <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,Sto_rmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for.subdivisionsllarge 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 /> INITIEN _■—■_■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ 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 />