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Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name' Owner Phone Number <br /> Owner's Address 1;�f��' ;r.%o j:J'• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / / f <br /> 711- <br /> JOB ADDRESS ✓/ -.( t Ji�� (`� .. �� l'�d/� H z "/ �LOT# <br /> I f <br /> i <br /> SUBDIVISION !i f PARCEL ID# �'l��a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R <br /> ADD/ALT L� SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK F__] FRAME I� STEEL <br /> DESCRIPTION OF WORK �`` AV /(,.C/ o A-1-1 62•�• <br /> BUILDING SIZE ((� / SQ FOOTAGE p7�7 HEIGHT <br /> BUILDING $ n� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / O� AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 06 <br /> =MECHANICAL Is y�� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS /�� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY If <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 YIN: <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address. �) License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address t) (/�� o, License# ��J <br /> 8sl: ttfl.flOgRQ .H8 � 188 . Lrfttt' ii5110 £rOn.gF# l� � l$ ttlgg513 €� tt8@5ttsi3tta €t.t <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 /> r _ <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 />