Laserfiche WebLink
W,0 r � b / <br /> Building Department U <br /> Date Received a Ua U Phone Contact for Permitting 7U -- W 0 / 1- <br /> 4 �Owner's Name U - GLiendo Q Owner;Phone Number <br /> Owner's Address 3 !y a E �COI n 6J(, Owner!Phone Number <br /> Fee Simple Titleholder Name OwnerlPhone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �l 1 Ic y l co l n (�7 V C 1 kl� s `— 3 3 S i( � LOT# <br /> SUBDIVISION ,n co fia. e l h f S PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R ADD/ALT SIGN Q MOVE 0 DEMOLISH <br /> IN REPAIR j_D (()he <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL OTHER <br /> DESCRIPTION OF WORK f.w re-(66f IL)) �q. <br /> BUILDING SIZE o i r l00 )SQ FOOTAGE HEIGHT ''I .�� .SIU . e .. . <br /> BUILDING $ lU V 61) <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA L=YES =NO <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRENT Y/N <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_J FEE CURRENT Y/N <br /> Address License# <br /> OTHER N �� COMPANY <br /> SIGNATURE _ REGISTERED / N ' FEE CURAENT /N <br /> Address License# CCCC�,Ja_SS,oS . . <br /> FH <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 application,notarized, <br /> If over$2500,a Notice:of Commencement is required, (A/C upgrades over$5000) <br /> ** Agent(for the contra' Power of'Attorriey(for the:awner)would be someone with notarized;letter'from'ownerauthodzing,same.:- <br /> y: <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 roadways..needs ROW <br />