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Building Department <br /> Date Received Phone Contact for'Permitting <br /> Owner's Name j U- (/(�?� ' � � Owner Phone Number <br /> Owner's Address l/��j J /' G Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �" I ��� Z ",/ '� L J LOT# Tj I <br /> i <br /> SUBDIVISION �, L1�v PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED : B NEW CONSTR e ADD/ALT 0 SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION BLOfCKK, /0 FRAME �}� STEEL Q <br /> DESCRIPTION OF WORK ����GZ�/ /�L(� �l�/ "L• � �.�'(J <br /> BUILDING SIZE /`C I SQ FOOTAGE[ HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W:R.E.C. <br /> [PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> not 9 <br /> BUILDER COMPANY rR <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/'N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address JJ)) )) License# �y <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N J FEE CURREN Y/N <br /> Address (��� t �� License# —� <br /> leg 0111.1149V9.91 a9614999112is9 2.11 l of a a vv.xgv asateavaileaa Eggs 11.8@28@1v51 <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 />