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'J-C.V 1 V1 U,- <br /> " Date Received l!� I _ (Q?j <br /> Phone Contact for Permitting <br /> a a a it a;aaa 1 rrTnrymnExxxaaaaa <br /> � mofh-e / <br /> Owner's Name 1I (7 Owner Phone Number <br /> Owner's Address l_IL � Y l j VnQ 1.-1,J/� Owner Phone Number <br /> Fee Simple Titleholder Nam t 3 3 Owner Phone Number <br /> Fee Simple Titleholder Address /V. v) <br /> JOB ADDRESS o' C� -tom S fi_ r h O l5 . L: g qZ LOT# <br /> SUBDIVISION PARCEL ID# 1 I Q- CCU I O U ! OD O/ Log <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0 <br /> "dear �-f�[iS�d'� 40 !C efLI. ('frACCA biVe WIDU 015 1LILLrod• ZC r rll� ►t[�Q G0�•/� <br /> DESCRIPTION OF WORK 16-0 sl�alNc <br /> BUILDING SIZE SQ_FOOTAGE HEIGHT r5j'11C1S �• (�C,P.Q t St i GIC <br /> `>E'CE>fClECi aT£CLYTS�TE'IC �CE�'iTE'Eli'E�CICEE"6EEiE-CCEE>FCE�CCE'S ICCT e�, c1c1 w�t'`'t� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION $a 12.(L't`t+' <br /> LYl UA <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N_ <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY Zu—t ZoD -er ' rdr-plbli <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Ir/N <br /> Address License# <br /> 217aa7�i;t-/�ilal'i1'11�13f1i !'1II7'oi):1i)t'ttb l3lP/iS6@ltH�i?llfiill7E!!l1111�l�ilQ; <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,Stornwater Plans wl 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 />