Laserfiche WebLink
Building Department <br /> Date Received` O Phone Contact for Permitting <br /> Owner's Name A -e_I '-&a bCL(Cl. kwefl Owner Phone Number �� r `Q 5" <br /> Owner's Address qa to ►I h Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> :Fee Simple Titleholder-Address <br /> I / <br /> JOB ADDRESS UI t(/�I � � ' � I`5 �l LOT# .� <br /> SUBDIVISION ( �(�oo PARCEL ID# V -d l0 - lJCJ3 0 "bb Cob - W�O . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH <br /> • R INSTALL B REPAIR � • <br /> /\1\ <br /> PROPOSED USE 0 SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION - Q BLOCK /� /O FRAME I� QSTEEL 0r (OTHER ( '^ <br /> DESCRIPTION OF WORK ea(b t� I J60r `! 1c5 G A F Qs rl04- V 6, �P� 0 f l V�c,��� 1 S�O`I f��IG UIJ <br /> BUILDING SIZE O SQ FOOTAGE L HEIGHT ! S 1 f a tS a -e <br /> 44 <br /> BUILDING <br /> U VALUATION OF TOTAL CONSTRUCTION j <br /> i <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> i <br /> 0 PLUMBING $ <br /> i <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 0 ROOFING 0 SPECIALTY 0 OTHER ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES I INO <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED YI / N I .. FEE CURRENT Yi /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# j <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> ' I <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> I <br /> i <br /> Address M License# j <br /> OTHER COMPANY r� an x r' <br /> SIGNATURE � REGISTERED / N FEE CU ENT /N <br /> Address License <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(1(3)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence install.ed,' <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,StormwMer Plans wl Silt Ferice installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirement's 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 contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER THE COUNTER PERMITTING` '.(Front'of Application Only) I <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)-; <br /> Driveways-Not over Counter if-on public roadways..needs ROW <br /> • . . . • ,. . is • . , <br />