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Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name U / <br /> G• G / � Owner Phone Number <br /> Owner's Address � /[%:"n� '� 1" J L Owner Phone Number <br /> ---------------- <br /> Fee Simple.Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �- .0 l�G' 1; .. !I( `rL � ✓ LOT# <br /> SUBDIVISION PARCEL ID# vI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R ADD/ALT u SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM �� OTHER / <br /> TYPE OF CONSTRUCTION' = BLOCK FRAME STEEL 0 <br /> DESCRIPTION OF WORK � ( b <br /> BUILDING SIZE O! t•P U! SQ FOOTAGE HEIGHT <br /> a > ems € <br /> =BUILDING Is llq qqq VALUATION OF TOTAL CONSTRUCTION <br /> o� <br /> =ELECTRICAL $ t1q3,00 AMP SERVICE = PROGRESS ENERGY = W.R.E:C. <br /> =PLUMBING $ <br /> =MECHANICAL T VALUATION OF MECHANICAL INSTALLATION <br /> .16 <br /> ,=GAS = ROOFING = SPECIALTY_[� OTHER <br /> FINISHED FLOOR ELEVATIONS F / ' j FLOOD ZONE AREA =YES NO <br /> p. <br /> BUILDER COMPANY S <br /> SIGNATURE REGISTERED Y/N FEE CURREN <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 License# ] <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address . License# <br /> OTHER /JuCOMP <br /> OTHER <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N: . 44—C- <br /> Address License# <br /> 9 9:9.0 a 9 9 9 E.9 a 0 A a a a Ott :frui3cliagu gav94ft0-RaF :? Ift,It00m€ e@,9@,199:239g0.1 <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 />