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rr- <br /> Building Department <br /> Date Received Phone Contact for'Permitting ( k } lY G — ICE a`�1 <br /> 9 BE <br /> # aaaaaaa F IL € a2a9 W a,a W,a a IE <br /> 2 <br /> Ouvner'.s Name <br /> r �� ' l Owner Phone Number) <br /> G-.. <br /> Owner's Address ' it J L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - I �G /��1�'� ,�L �J LOT#r <br /> SUBDIVISION —7 � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR Q COMM �— OTHER D Z, <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK -G� �L /rYG J . ? 7 � �xlJ <br /> V i i j pI / 1I <br /> BUILDING SIZE SQ FOOTAGE 3 HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 t FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1 6 <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y!N <br /> Address I License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER � COMPANY L_ <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# F � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY V�/��t r ��rGI i C ✓l�`j d Y �� �i `tz' <br /> SIGNATURE REGISTERED Y/N FEE CURREN �Y/N/ F•'� <br /> Address (��,/ �� License# �(/� G <br /> .9998,1 1-11 9 11 9 1.119 1111 a 11999 a at It lvv.11gfe Iltagivallatallavillaaaffavl.I€ 11.lalVaNva1 <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.Ail 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/Surrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />