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Building Department <br /> t <br /> Date Received I a d a U Phone Contact for Permitting 1-7 8 d,; <br /> Owner's Name H I I�00 eft+al Owner!Phone Number <br /> Owner's Address 15��1 15 I f 6 �1 I S OwneriPhone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> :Fee Simple Titleholder Address <br /> JOB ADDRESS 3 l �l n �hi I lS 3 55 L( LOT# �� <br /> ( <br /> SUBDIVISION QS S PARCEL ID# 3;aV1a 1- 0/ab- 600ob - 6350 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED : NEW CONSTR e ADD/ALT �� SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR ) <br /> PROPOSED USE Q SFR COMM 0 OTHER <br /> TYPE OF CONSTRUCTION ' Q BLOCK 0 FRAME STEEL Q OTHER <br /> DESCRIPTION OF WORK -{�c o (e-(LpF 1 Qs �S c. <br /> >4F��� �lS Fl 1 U.l al(� S (�� I� U�' ►�( (DI�a�m <br /> BUILDING SIZE ( �D SQ FOOTAGE HEIGHT <br /> BUILDING $ / O/�C VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ (Q lilt AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ " VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS' FLOOD ZONE AREA DYES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y 1 IV _ <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address n License# <br /> OTHER l ���y COMPANY <br /> SIGNATURE ccv//��� REGISTERED N FEE CURRE T <br /> Address �� [ I J S� 54 �kr t� S F1 335�( License LCt <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 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,appiication,'notarized <br /> if over$2500,a Notice of Commencement'is required. (A1C'upgrades over$5000) <br /> Agent(for the contractor)or Power of Attorney(for the owrier).would be someone with notarized letter.from owner auttionzing same! <br /> :. <br /> 'OVER THE COUNTER PERMITTING-.': (Front of Application Only) <br /> Re'roofs Sewers Service Upgrades ' -A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />