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u,3-ruu-uuzu Ulty OT Lepnyrnlns Hermit Application F-CIA-o ou-UV, <br /> Building Department KMAus <br /> fate.Received PhoneCont act for Permitting . <br /> )wner'sName i+e- �T��1C LU )G{.I� LL� <br /> f'1.t, Owner Phone Number <br /> 2wnees Address 2U 2 S' FGi IICerl bui G A J I ►V�e�LI f.P L Owner Phone Number <br /> =ee Simple Titleholder Name r Owner Phone Number <br /> Fee:Simple Titleholder Address / <br /> JOB ADDRESS �Q w ©� S "� I I `�S y v✓3"Jt LOT# <br /> SUBDIVISION DG�,I��D ase P. PARCEL ID# D - ,LI ^O W"WOW-O i bQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR R <br /> ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE FX___1 SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL [� <br /> DESCRIPTION OF WORK �GV ✓(J n 1 u� n �C ����1. <br /> c��' <br /> BUILDING SIZE SQ F OTA 2 HEIGHT <br /> =BUILDING $ (Q OTAL CONSTRUCTION <br /> =ELECTRICAL $ U AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y I/N11 <br /> _ n <br /> Address �O���S� �L slurA II/e4ea)jR,335N License# <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE ` REGISTERED Y/ N FEE CURREI` Y/N <br /> Address / � � L License# G(� 3� -5 <br /> PLUMBER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN <br /> Address 313�/�� 3 ! �/ Il!uiFL�✓L�7�5 License# . t.- 6/1a7a_7-7 <br /> MECHANICAL COMPANY <br /> SIGNATURE / REGISTERED I YIN FEE CURREN I YIN <br /> Address <br /> W 3 D l� GISLa1,i�<L 3 G/C,,&-71 Licensed <br /> 7, /J�/ f <br /> OTHER COMPANY O 1GL el l""c,)6 -7 j <br /> SIGNATURE REGISTERED Y/ N FEE CURREr, Y'/N <br /> Address /��/n �lC�i 37 License# L L/3 �g33 <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. (AIC 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 />