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%illy UI Lt'FA Iyl I IIIIJ I'CIIIIII MPJJInJd LIUII <br /> Building Department ,+I <br /> Date Received Phone Contact for Permitting ( / , Y <br /> E@EEEEEE n EEEEt JJ <br /> Owner's Name �q Owner Phone Number Q 1 J (� <br /> Owner's Address / tJ ��� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n <br /> JOB ADDRESS 0 re_e-+ LOT#p� <br /> SUBDIVISION PARCEL ID# , ��Q r 1'00) — 01? <br /> ((�� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED •ig� W CONSTR e REPAIR SIGN = = DEMOLISH <br /> N <br /> PROPOSED USE L SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL I PAn(IT <br /> DESCRIPTION OF WORK \ C_- \9^ n <br /> „ <br /> BUILDING SIZE SO FOOTAGE HEIGHT j�(/t! <br /> C><Ci-i->�'S' <br /> BUILDING $ l VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �91 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO !!! <br /> BUILDER COMPANY er -6I <br /> SIGNATURE < REGISTERED Y FEE CURREN Y/ <br /> Address S — License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <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 Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> @@@@@@@@!@ !@@@@@@@@@@@@ !@@@@@@@@@@@@!a@@@@@@@@@@@@ (@@@@@@@@@@@! !E@@@I <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.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(far 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 />