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vn.y U1 Z_c(n iy1 c uno i <br /> Building Departi ent <br /> fi <br /> )ate Received <br /> Phone Contact for Permitting <br /> 7117-11 <br /> owner's Name Pi L'I 'C �� m t Co� )u.) LL Owner Phone Number ���"11/"'I •� �bj <br /> 7wner's Address 2U(rZ s' FQl4nbLt! 0, iJer��fP.j L Owner Phone Number <br /> Fee Simple Titleholder Name /K Owner Phone Number <br /> l�Fee Simple Titleholder Address '/p J <br /> JOB ADDRESS ��l "/v I��/W`l �� l/(/G�J I�1/Cam' Y �r[ �/3LOT <br /> SUBDIVISION D( vI ' me p PARCEL ID# O U/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED j NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> ® INSTALL 8 REPAIR <br /> PROPOSED USE X7 SFR = COMM =] OTHER <br /> TYPE OF CONSTRUCTION 'BLOCK Q FRAME h.� STEEL <br /> DESCRIPTION OF WORK �� l!OnS1ruG�i Uj'] ' s/n ICG�iYI J <br /> x. � !/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ f{� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $� l AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING Is <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 0/ J FLOOD ZONE AREA =YES NO <br /> J <br /> BUILDER COMPANY u'bli✓.! V 6 `LL <br /> SIGNATURE ,,/ REGISTERED Y/ N FEE CURREN/��/ Y//N_ <br /> i <br /> Address IO��S� �� �1 � a1e,U .),r`,3� License# 61!�I (/� Qf'O6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Ary I REGISTERED Y/ N FEE CURREN <br /> Address l 17 /� L <br /> � I License# EC�3��?�`J <br /> PLUMBER COMPANY !/Y) C3 ) / , /�1�l <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address. 313,3di�3? (�A)(I al-AV, -3 79 License# �C Fd/L/a-7-1 <br /> MECHANICAL COMPANY �CG�7�S sYjr l U G6/lIDYI�/�f r/�I <br /> SIGNATUREA_)_ REGISTERED Y/ N FEE CURREN Y/N <br /> 6(/3/�Gr►t6Y7�hll� R5�1,IL License# 3 20 <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE ( REGISTERED Y/ N FEE CURREN Y/N r�- <br /> Address �193/bfVln I�, Di?` /C/1 �913 License# <br /> rrrrrr .rrrrrrrrrrrrerrr.rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr <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 /> 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 />