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-- '--' uityOt U|8Fzernlit Application Fa*818'780-0021 <br /> Building Department <br /> . . <br /> Phone Contact for Permitting <br /> Owner Phone Number <br /> Owner's Name <br /> Owner's Address Co ))r 1-7-a Owner Phone Number <br /> -Fee Simple Titleholder Name Own'er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS T_x In= LOT qqI&SUBDIVISION P/nRCsL|o# <br /> . (OBTAINED FROM PROPERTY.°^.`=^E) <br /> WORK PROPOSED mEWcomsTa ADD6�T F---1 G|8N F--1 F--] DEMOLISH <br /> INSTALL [ � REPAIR <br /> PROPOSED USE �--1 ' aFR �-� COMM F---1 OTHER <br /> TYPE OFCONSTRUCTION BLOCK �-� FRAME F---1 GTEEL F--1 <br /> BUILDINGSIZE SQ FOOTAGE HEIGHT <br /> �—��U\U]\N� <br /> �—� VALUATION OF TOTAL CON8TRUC�ON <br /> =ELECTRIC8L AMP SERVICE �--\ PROGRESS ENERGY F—1 VY.R-E.C. <br /> =PUJMBiNG ~- <br /> F--��ECH�N|�AL VALUATION�_� <br /> �--lGA8 ���/ ROORNn �--l � SPECIALTY �--1 OTHER <br /> ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> nUILoER COMPANY <br /> SIGNATURE nsG/orERso FErc« «E^ L���_J <br /> Address Uoenoe# <br /> ELECTRICIAN :qMpxmY <br /> SIGNATURE nso/msnso L_Y N pescunns^ L�7l� I <br /> Address Licanoe# <br /> PLUMBER > COMPANY <br /> SIGNATURE nsa/arexso L_l1 pssounnsl\ L�2N I ~� <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE REGISTERED ` L��_�_J pEEuunnex [ y I <br /> Address License# <br /> OTHER coMpAwv <br /> SIGNATURE REGISTERED LY/_N_] pEcounnsN L_l�NL�� <br /> ' <br /> Address License# <br /> uuxxu � nmwxxummxxxxmmoxu ^umxxx �� nxoxuunoxuKVxnun � uxuxomxxuxmxuuuKmxnx <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(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit-Fence installed, <br /> Sanitary Facilities&1 dumpntar;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(1O)working days after submittal date. Required onsite,Construction Plans,StormwaterPlans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> °**°PROPEFTY SURVEY required for all NEW construction, ' <br /> Fill out application completely. <br /> . Ownor&Contractor sign back of application,notarized <br /> |f over$osVo.a Notice nf Commencement isrequired. (A/C upgrades over*75V0) <br /> ^^ Agent(for the contractor)or Power of At6me�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fonoen(P|nt/Sumey/Footage) ^' <br /> Driveways-Not over Counter ifun public madvayn'needmROW � <br /> ^ <br /> ' <br /> � - <br />