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Building Department <br /> de Received ✓ ✓ Phone Contact for Permitting <br /> wrier.'s Name 4 j+C 110 M C N NN )Co c: LL G Owner Phone Number <br /> wrnees Address i'�S' �GL, Lt1 l iV f�/,v l Owner Phone Number <br /> .w Simple Titleholder Name IJA Owner Phone Number <br /> :e Simple Titleholder Address .l A <br /> JB ADDRESS ( /✓`GLU! �L� S GJ� �� �`IG S �33CJ`7v� LOT# <br /> UBDIVISION OiN JI CI P PARCEL ID# 74P'-/ —A �S6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IORK PROPOSED e NEW CONSTR R <br /> ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> ROPOSED USE 0 SFR. 0 COMM OTHER <br /> YPE OF CONSTRUCTION BLOCK 0 FRAME STEEL = <br /> ESCRIPTION OF WORK 1J i!0n,?kZG-A - SIB I•C <br /> UtLDING SIZE !(/ J SQ FOOTAGE 'S�'JU� HEIGHT':[ <br /> =BUILDING $ �..jp VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 3 AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ L N71 <br /> 0 <br /> 0 <br /> =MECHANICAL $ //%� Ob VALUATION OF MECHANICAL INSTALLATION (�3� <br /> =GAS = ROOFING Q SPECIALTY 0 OTHER <br /> 'INISHED FLOOR ELEVATIONS /)�D / FLOOD ZONE AREA OYES NO <br /> 3UILDER COMPANY <br /> >IGNATURE REGISTERED Y/ NLI FEE CURREN p, Y/N <br /> Address ?(o�a�9,�� . /�6-+cr�' , i(/�/�/el[)IrL,3J License# <br /> ELECTRICIAN COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y./N <br /> Address Z' h lCG r�°7/yCI� QIY .� L License# <br /> PLUMBER COMPANY 1 �� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address 3133/►/�?,7 h(J/ r/�ltiY /,FG3J�7�� License# C/` `a 7 -7-7 <br /> MECHANICAL COMPANY1C�7�1tS:�( CO /IIDyI!!IG( �r//f <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN Y/N <br /> �S/ i>GrL tZsY1 111� d5�1,r!l 3 c/(4a 7 License# % I , 3 20 <br /> Address � <br /> OTHER COMPANY / l& `"LC`J�al�' <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address q31 Aron.pr W) t Fl,3 License# <br /> tl@etl@u .nB@9@@9tltl@II@tltl@tl@il@e91I1{ tltl@9@B@tlA@@@111@1@ ! Y >ZB@@ & OS@Q.Q9tl@Y@@ [i0 <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) 1 <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />