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viLy U1 --- <br /> Building Department <br /> )ate Received Phone Contactfor Permitting Si . ) 0 It' - �.� �- <br /> Owner's Name P�, kL IUD(11 C Gv M )G{.Il r. �j- Owner Phone Number �J <br /> Jwner*s Address 2UU2.S, Fal4nbur u/ Owner Phone Number <br /> Fee Simple Titleholder Name /r Owner Phone Number <br /> Fee Simple Titleholder Address !A <br /> JOB ADDRESS 114Vf/�VS �II�L �G Y�%��S LOT# L—L_✓�J <br /> SUBDIVISION Dw�S a�"D PARCEL ID# (/`(- � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR 8 ADDIALT SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK 111t k) GQn S 1' uZ A on - 5in 16 rg,,*j f` <br /> d <br /> BUILDING SIZE SQ FOOTAGE HEIGHT '" <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �,• �fj AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ /' =ty <br /> =MECHANICAL $ �/, /n VALUATION OF MECHANICAL INSTALLATION <br /> =GAS O ROOFING Q SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS /�JO 7 I FLOOD ZONE AREA OYES NO <br /> I / <br /> BUILDER COMPANY GI,Lfe fit' �/V1� 1 �LL <br /> SIGNATURE REGISTERED Y/ N FEE CURREN/��/ Y//N <br /> Address ID��S� r � � lVei(�/ I�Ly3 License# be'a,!� OJ5 <br /> ELECTRICIANU�l COMPANY clC� liL r l <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I ` License# EC <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt\ <br /> Address 3/3�/l�c 3l"" �r 'f�FL�1 License# /ya7a--7 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN// Y/N <br /> /''17Gn t6Y1 Alf R5�1, (P(� License#Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N 2 <br /> Address / Dr ICL,3 License# <br /> I11111 .1111 .1111,1. hi1.1 ,1,1I.J1 III 1111,1111111111..11II11.1111111111111111111111 .. <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 /> . . . . . . . ._. . . . ._. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . <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. (AIC 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 />