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ldty UI Lt:PA lyr I rrlll r'CI I I II6 MPPI1L;HUUII <br /> Building Department <br /> Date Received Phone Contact for Permitting ) y <br /> a!e[!!ea ,/ t[!![ Q <br /> ;Owner's Name L Owner Phone Number 90"J� <br /> Owner's Address I Owner Phone Number 13 r r�9 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 5),5q JOB ADDRESS j LOT# <br /> SUBDIVISION PARCEL ID# 6O"DO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSfR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE .1�0 SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEE`L <br /> DESCRIPTION OF WORK a <br /> BUILDING SIZE J SO FOOTAGE HEIGHT <br /> 4T T!'%,dL-t k IL7;7X-1 <br /> BUILDING $ V,00,61, VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 44 V/1� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> =GAS = ROOFING Q SPECIALTY = OTHER 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED q VIN FEE CURREN <br /> 2 N <br /> Address 5514L1 `r by- v License# I J <br /> ELECTRICIANF COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN <br /> Address License# <br /> H[![!!!!![ I[[![!![!!!![.1[[!!t!!!!![ BI![!![!!!!!!! tl![!![[!![[!! !!!!!1 <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 subdivisionsAarge 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 />