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Building Department <br /> Date Received <br /> Phone Contact for Permitting { } <br /> aI21aaa9a <br /> Owner's Name f n / f n �/t/��' •!d� Owner Phone Number <br /> Owner's Address !v1 L Owner Phone Number <br /> .Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address }� �i1 <br /> JOB ADDRESS ^- r� G l. �i f I�I� �� �J LOT# <br /> SUBDIVISION / . � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW COLSTR H' REPAIR SIGN [� DEMOLISH <br /> INSPROPOSED USE SFR 0 COMM 4. i� OTHER T� <br /> TYPE:OF CONSTRUCTION )B,LLOCCKK. 0 FRAME /� STEEL <br /> 'DESCRIPTION OF WORK ��!`✓' G �� �j� Z ' "�/ "GGI Y U <br /> BUILDING SIZE 1 �/' / SQ FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBiNG 1$y <br /> =MECHANICAL [� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR-ELEVATIONS ` 7 FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY ,I <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY ��� I�j��%/ ✓l��/1 D�' /G�iy����1`u/� <br /> SIGNATURE REGISTERED Y/N FEE CURREN^ �Y/N <br /> Address V�/ h \ License# 7�j�(/� &A <br /> @IV211.911 aria 9.889991991 $ @@ €IIC1Rag I; alogIgativiaS 18851a1 <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 />