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Building Department <br /> Received Phone Contact for Permitting <br /> A=trl>-ems L /� /� _ -- <br /> vner's Name a�l tC t U n 1L L�U NA )GL"1) LL Owner Phone Number l �j `"1 pq"�J (�j <br /> tuner's Address P�_6,-z S' f Calkellbt i)Gj 0, Owner Phone Number <br /> !e Simple Titleholder Name 0A Owner Phone Number <br /> !e Simple Titleholder Address !A <br /> )B ADDRESS 300 6nv r(Gi U� S 61 G L /; `-17 /.5 LOT# D� <br /> JBDIVISION DC'('Vs0 �GtSCP PARCEL ID# O —A !(OBTAINED FROM FROM PROPERTY TAX NOTICE) <br /> 'ORK PROPOSED e NEW CONSTR R ADDIALT SIGN Q DEMOLISH <br /> INSTALL REPAIR, <br /> ROPOSED USE ® SFR. 0 COMM OTHER <br /> YPE OF CONSTRUCTION K] I{BLOCK f�E ] FRAME STEEL = <br /> ESCRIPTION OF WORK GCJ 1, �G"�vo <br /> UILDiNG SIZE r- �! SQ FOOTAGE " f /- � � _ HEIGHT , �,_',�-..�+•' --- <br /> =BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION <br /> , 1'b <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> _ �t� <br /> =PLUMBING $ ! I 47, <br /> 01) <br /> =MECHANICAL $ / 6— VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> 1NISHED FLOOR ELEVATIONS / FLOOD ZONE AREA =YES NO <br /> � n <br /> 3UILDER COMPANY <br /> >IGNATURE REGISTERED YIN FEE CURREN Y/N - <br /> Address &b"qN S, /16�trC• lVe/l�feL[�l �3 License# <br /> ELECTRICIAN COMPANY kazm <br /> SGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License,# �L 3 �7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y1/�N <br /> Address �/GJr/C�C�Y�t'z1,FG�✓L�7 5� License# (— �/`7a 7 3k-7-7 <br /> MECHANICAL COMPANY 19)l17d6 /TY CII /(IDyJll�rl �ll/1 <br /> SIGNATURE REGISTERED Y/ N.- FEE CURREN Y/N <br /> R/3 IJGrL �l71.1� G•a✓5G�1,Fi, ���P(O� License# / / - 32� <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> /i9_q1./J/7/i' .�� ewe : r7` ic% R,3 <br /> Address i ,License# <br /> Q9A9e8 .9IeeI9.e90a199ee0alee9IA90999IaaIIIaaIIIaIOIIIaRaaIIIalelll019099 <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 />