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Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name "� <br /> L CGS < Owner Phone Number <br /> 12 <br /> ^.. l. j <br /> Owner's Address f�%r;'n _., l / ) L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �`� ` • �- i F,'� �-S G✓ .. ZG, J /II!`f + Z- 4 LOT# <br /> SUBDIVISION ifs. PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR H <br /> ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCCK�K,, Q/ }FRAME �}� STEEL <br /> DESCRIPTION OF WORK `!�r.G��� i(�u//IJ %",EGG• <br /> BUILDING SIZE SQ FOOTAGE Q�(/�lfi I HEIGHT <br /> =BUILDING $ // i7 v�`/1/1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ /��/ OD AMP SERVICE J �' PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ i /� v�"""—` C jTZ <br /> =MECHANICAL $ /)/� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 6 <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 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address F77 <br /> J 1 License# / y <br /> OTHERAuI COMPANY i//l�r`� (1) <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N � <br /> Address ), (/�/ � License# <br /> 99E921.901illIE.HaIggul ifiifl Iii€ rFa.Ft aGaa@0?aa0ir $ 5 & gz - gIa € ? agaag122E- Rag8nu <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 /> .- .- .- .- .. ... .- <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 />