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Building Department <br /> Date Received / <br /> Phone Contact for Permitting <br /> Owner's Name oh n � I I n Owner Phone Number �3 "3a� r J5 1. <br /> Owner's Address C 3� CkC�e�S h c�l5 r Owner Phone Number <br /> Fee Simple Titleholder NameF777 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FL— <br /> l" �I I S ( `t LOT# <br /> SUBDIVISION Il��1 SI�^-�, PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q MOVE DEMOLISH <br /> INSTALL REPAIR j <br /> , <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ I c l aG <br /> -( a,•J5 ^ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q" W.R.E.C, <br /> Q PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA DYES =NOHHHHHHHH- <br /> ' <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y/ N j FEE CURRENT I Y/N i <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT Ly/N <br /> j <br /> Address j License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> I <br /> Address License# <br /> OTHER m �11 n/1 �d COMPANY I°I an w T L <br /> SIGNATURE V 1 111 W V` REGISTERED Y N " FEE CURR T /N <br /> Address 3��f �3 S S�I b l l (,� `` 3 3 5�� License# L c(c <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 /> -SIGWPERMff Attach(2)sets of Engineered Plans. j <br /> """'PROPERTY SURVEY required for all NEW construction: �„ <br /> f, I� <br /> will <br /> 'Directions,,;4: %, ^''-uY.', c:,.-• <br /> F,iil'out application completely. - <br /> Owner&'Contractor sign back of application,notarized I ;) <br /> Hover$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <s I " <br /> Agent(fo,the contractor)or Power of Attorney(for the owner)would be som6,nha-•ith':no( rized letter from owner authorizing same <br /> G <br /> 'OVER THE COUNTER PERMITTING (Front of Application Only) c <br /> Reroofs. Sewers Service Upgrades A/C Fences:'(Plot, uryeyLFootage) <br /> DrivewaVs-Not over Counter if on public roadways..needs ROW i5 <br />