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vILY W1 ��IJI lyl 1 1111,2 1 4-,1 1 1 11L r11J1J11L#QL1V1 I <br /> Building Department <br /> Date Receiyed <br /> Phone Contact for Perr <br /> a Et <br /> TE a nittingaa F( <br /> j a van G9_aU ;_. t! a 2n <br /> Owner's Name k,. Owner Phone Number C7-i <br /> Owner's Address 4Z Owner Phone Number <br /> Fee Simple Titleholder Name f Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Pri <br /> A, 14)00 LOT# <br /> SUBDIVISION <br /> PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMMA OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER_ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .0 a 0 60 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N._J FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans; (2)sets of Building Plans;(1)set of Energy Forms'*,-R-O-Wl5ermit 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$7600) <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 />