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Building Department <br /> Date Received Phone Contact for Permitting <br /> a i.. 50 3 <br /> Owner's Name Owner Phone Number �3" ✓ <br /> Owner's Address ;�(� .`r.1_?. 1 Owner Ph al , one Number <br /> �..; <br /> F /� , <br /> Fee Simple.Titleholder Name �l Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f &&,C '�'G'rr�s �, �L� T! !/Il l J LOT# 11G� <br /> SUBDIVISION /' ' f •� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED NEW e CONSTR ADD/ALT SIGN = DEMOLISH INSTALL B REPAIR <br /> PROPOSED USE -SFR = COMM OTHER I T_ <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME = STEELS _ <br /> DESCRIPTION OF WORK .���r �'�/� �(��' �r�G �'L• -' � ) ;J�� �[ f--f rU <br /> BUILDING SIZE t'/ SQ FOOTAGE HEIGHT J �/ <br /> =BUILDING $ /0M VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ? r�Q AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ �/� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS / n / FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N- FEE CURREN L.Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE 'REGISTERED Y/N FEE CURREN. <br /> Address License# 17 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N' FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY I��.�(,� �, 17r'C�)D/ Zu-1-4a t w <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address <br /> IVIlid J'"" K License# <br /> 11. a09.1➢.00if11J.9115a11.9V 91;1995f9:9 99.91:5 9 i:09i10ORRa95905 rice aQ5p- 99909908 <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 /> Directi= <br /> _ _ _ _ _ _ _ _ _ _ <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 />