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Building Department <br /> Date Received` L 1 a Ua O Phone Contact for Permitting �� 78�: -- lbow <br /> Owner's Name ed esc�_ G(e of Owner Phone Number D tJ -7 U <br /> Owner's Address 5�1 UO-A 3+ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 2 �( <br /> JOB ADDRESS F5qba LOT# IJ { J <br /> SUBDIVISION Ci 0t 2�� I PARCEL ID# o�(0 I -vul.� = I3 6or1)- di3 0. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT �'� SIGN 0 MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR- 0 COMM OTHER <br /> TYPE OF CONSTRUCTION - Q BLOCK /0 FRAME Q STEEL 0 OTHER <br /> DESCRIPTION OF WORK C�' �V� l9lr �S h�e�� 5h��] UOL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 3((a. SIU C� <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ( I U V AMP SERVICE PROGRESS ENERGY �] W.R.E.C. <br /> PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO <br /> BUILDER COMPANY <br /> SIGNATURE I I REGISTERED Y/ N J FEE CURRENT YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N <br /> Address License <br /> (�# <br /> OTHER M ' (, N \'„� COMPANY OC `'erg � <br /> SIGNATURE REGISTERED / N - FEE C ENT Y/N <br /> Address �O`I 13 J L hcrl I S C J 3 / 1 License# , L� <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(3)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 4 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.' I. <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$5000) <br /> Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways=Not over Counter,if on public roadwc ym.needs ROW wol <br />