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Building Department <br /> Date Received. Phone Contact for Permitting ( ) <br /> 7E� .U .r6 arm 'x. la '¢ <br /> Owner's Name ' (/l/ � iL � Owner Phone Numberi3" <br /> G' Cr/ t � <br /> Owner's Address r;�(/lr `�� J ' <br /> 1 - • L� Owner Phone Number <br /> Fee Simple Titleholder Name VIA Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 1D I . �; z /)a /s Ix It 54 / LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMMA OTHER <br /> TYPE OF CONSTRUCTION = BLOfC'7K� / /Q/ � IFRAME ��,(, STEEL E <br /> DESCRIPTION OF WORK j�'r�r G G'�( i(�CiG�/ �r � ` -•/ �•' ' ) � � �?'Z <br /> BUILDING SIZE D, e?I(� SQ FOOTAGE HEIGHT <br /> ?€'L rr. iE _`X W=' 'Z UK tf.Z - �L M M M 4 ' a-,.114 iL JL ft.-o_; SIT -L <br /> =BUILDING l,jlql7 /�,' yy1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ x /� OD AMP SERVICE 0 j>/PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ 6 6) 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS. = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY tS <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address p License# <br /> OTHER COMPANY (/ 31/?��,I <br /> SIGNATURE // REGISTERED Y/N FEE CURREN �YJ/N —(� <br /> Address License# <br /> © 9'8.6'aF81 aUaPIi} ;Ir'itag s, C. 0R.ftffttaE.0att -Rtt.uiftirl'aaaaVa Erg GaaEV '9gaaI <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 />