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Building Department <br /> ate Received Phone Contact for Permitting . ) �' - j� <6"2— <br /> W I->t Billing iiiinfl-onfla-H <br /> wner's Name t L i' ( l'�Uo1•C Co to xto c, (,Z G Owner Phone Number ��-`"1l/'a"`J <br /> wner's Address LLIe Owner Phone Number <br /> ae Simple Titleholder Name / A Owner Phone Number <br /> ae Simple Titleholder Address !A <br /> JB ADDRESS `G /G( S Yl v� � ✓ 7 Il LOT# <br /> UBDIVISION aG��s 0 1mli p PARCEL ID# of(J/ O(/ lO/,:Ri� aMZU "DO?/,70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IORK PROPOSED M <br /> INEW NSTALL REPAIR STR 8 ADDIALLT � SIGN Q Q DEMOLISH <br /> ROPOSED USE ® SFR. 0 COMM OTHER <br /> YPE OF CONSTRUCTION JZ] ``BLOCK 0 FRAME STEEL Q <br /> ESCRIPTION OF WORK I�G(J 'U�)S uGfi l s/� �[�G(i!� !ILI <br /> .UILDING SIZE SQ FOOTAGE oS �% HEIGHT C-5/1 9_----r -� <br /> =BUILDING $ _._ :�, VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE Q;�PROGRESS ENERGY 0 W.R.E.C. <br /> QPLUMBING is <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> 'INISHED FLOOR ELEVATIONS /���85 I FLOOD ZONE AREA =YES NO <br /> 3UILDER COMPANY CL�'7 G dvm(-. <br /> AGNATURE / REGISTERED Y/ N FEE CURREN Y/N <br /> Address �i�0�r�S,! l / trL� I felC�lL�3 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ Nj FEE CURREN <br /> c`3 z ! /J !lG �✓7/y�j �/Y G�.� L _ <br /> Address License# �� � 5 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address 3l33�/ 37 .� �r ,FL�✓4W License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> 6(/3 /�GrLt6Yl �� d r1,�(� 3�(P(p 7 License# I 3 ZZ) <br /> Address <br /> OTHER COMPANY A il& <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N 2 <br /> Address fil-3/Aro;-) Or PGA .p%f /�R,3 License# <br /> 6.Oaa8R .0R0Hi50RaIIa000aa010aaIRaaaaa00a000aIIIaa0Iaa0aaaa19 aaa0910a0a <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(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 /> I <br />