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-- ---- vny V1 I—VF1Iyl111110 FCIIIIIL1-%P.JIILdLIUII FdA_01.3-1OU-UUCI <br /> Building Department <br /> Date Receif4i? Phone Contact for Permitting ( � ) <br /> aaaaa <br /> j i /� l <br /> Owner's Name �' ��.,� �?,' ) ��., L°U�y •.�--��, Owner Phone Number <br /> i3- <br /> 4 <br /> l r <br /> Owner's Address , %;1 _., f r /` L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address IVIA <br /> / r MZ <br /> JOB ADDRESS 'ALOT# <br /> SUBDIVISION �;' � PARCEL ID#��`Z '! 'r 'j -0` ',"O� G�D <br /> ✓ I—, "(OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW <br /> CONSTR R ADD/ALTALLREPAIR u SIGN "` _ = DEMOLISH <br /> INSPROPOSED USE SFR 0 COMMA OTHER" l; ' <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME _ "STEEL" <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE U `I I rl SQ FOOTAGE® 'HEIGHT-' o - <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> a <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS l � FLOOD ZONE AREA =YES NO <br /> r <br /> BUILDER COMPANY II <br /> SIGNATURE REGISTERED Y/4 FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N 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 I Y/N FEE CURREN I Y/N <br /> Address .License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/W' FEE CURREN I Y)/N <br /> Address j U� ;� (�h License# <br /> 9-41SO11.0aaIfE1.gi# till 80WEs-Ef llIIIr15111111 i [ [ 11i �1.�� if�� t'1tli�fttl � tlt�� l�l112.1112vag5ttl <br /> RESIDENTIAL Attach(2)Olot 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;Pfans,Stormwa ter Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Alfcommeriialsequirementi: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 />