Laserfiche WebLink
%-,Ity UI z-ep ip rinis rermit mppncatlon ran-o iwv�-vac i <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting ( ) <br /> € €.€ € € € €€ //'' €€ € € € <br /> Owner's Name A ��7� /�Y f . Owner Phone Number <br /> Owner's Address ? illz Owner Phone Number <br /> �7 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# ;J <br /> SUBDIVISION : � PARCEL ID# 2D'uvio(9""'O7`3(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED H NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM �1 OTHER L7-1 <br /> TYPE OF CONSTRUCTION (BLOCK QD, FRAME STEEL �C�y <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE , p SQ FOOTAGE HEIGHT <br /> VL <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY li <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Address License# <br /> -MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address EM, <br /> `License# /�OTHER COMPANY' h 1 I . C J�C/)'Of <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address (��r �� License# <br /> 11 € ii.■ iilli.Ii 1211122 liili112111aEvilvaila-v tl # iaiEla-t.R #N1 €;Ilat <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 />