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... , . vi Ly v1 A_cNI iy1 1 im0 i <br /> Building Department <br /> ate Received J U N 17 2020 Phone Contact for PermittingUS El <br /> Wrier's Name R'Ll+C G m C C�`m )Gf.tl i, (,Z G Owner Phone Number, <br /> 'wner's Address 2U�2 S. �i G �) Owner Phone Number <br /> ee Simple Titleholder Name /A Owner Phone Number <br /> ee Simple Titleholder Address IA <br /> OB ADDRESS �f c� ��2�1 �r DD�� /�� �' ( _ LOT# <br /> UBDIVISION VW�S )�S"® PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JORK PROPOSED ® NEW CONSTR= ADD/ALT SIGN O ;Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE FX__J SFR = COMM OTHER <br /> YPE OF CONSTRUCTION E BLOCK Q FRAME STEEL Q <br /> IESCRIPTION OF WORK / Ll -t^aZ' s/n Fa"` /Ad <br /> tUtLDING SIZE , SQ FOOTAGE 3��7D HEIGHT.' ��1 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 3� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> -INISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 3UILDERr/� <br /> COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN Y//N_ <br /> Address ������ l�ur� ;tee,/?,a)11 4%336V ` License# <br /> LECTRICIAN COMPANY <br /> SIGNATURE Y .REGISTERED Y/ N- FEE CURREN Y/N <br /> Address / / License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y�/N 1 <br /> Address 3/33�1/v �j ��G License# C- �% ` Zt 7, <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED s Y/ N."- FEE CURREN Y/N <br /> Address l� GdSw1,�L 3 rf LP(p 7 License# 3 2 <br /> OTHER COMPANY <br /> SIGNATURE p, REGISTERED Y! N FEE CURREN Y/N r <br /> Address j /G/7i 37 License# L 3V)g <br /> 111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII .IIllllll ,lllllll1111i11t1 <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,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$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 />