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UIly UI LepllyrrllllS r-ermittAppllcation rdA-oia-you-uutr <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> J Owner's Name �. �� , U? �i,�Z" ✓' f_. Owner Phone Number <br /> r <br /> Owner's Address >;.1 j Owner Phone Number <br /> / 335�� <br /> Fee Simple Titleholder'Name Owner Phone Number <br /> Fee Simple Titleholder Address / _� 2 <br /> JOB ADDRESS. l �' 1 Q�S G ZG i d' - �L J LOT# r <br /> - SUBDIVISION N60 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R <br /> ADD/ALT u SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM E, OTHER 1j <br /> TYPE OF CONSTRUCTION. = BLOCCjK�, FRAME STEEL <br /> DESCRIPTION OF WORK <br /> -BUILDING,SIZE (/b[Q�II SQ FOOTAGE ,L HEIGHT <br /> =BUILDING $ r f VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ /j, v AMP SERVICE PROGRESS ENERGY Q W.R.E:C. <br /> =PLUMBING $ 0-,00 <br /> =MECHANICAL $ `�,©r\ VALUATION OF MECHANICAL INSTALLATION <br /> Lf <br /> =GAS [� ROOFING 0 SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ,f <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <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 Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address �)n P License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN `Yl/N G K� <br /> Address License# <br /> .591121.1.2a1 1.1.91Itsi 11111 € if.l& �� IE1Ita ai:vaaataIIaaaIVa € I IIa2:11aaIV.1.lpgaIa € fit <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 />