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Building Department <br /> Date Received Phone Contact for Permitting ( .�' � )SEE- ss our. <br /> Owner's Name � �. �, U? G�' rL• ,1- Owner Phone Number <br /> Owner's LizAddress % Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS p2 j '' • .�,i ') l�, .. ( 11I�� ��t �J LOT# <br /> SUBDIVISION 'J L f+: � PARCEL'ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR H <br /> ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM ��� OTHER l b <br /> TYPE OF CONSTRUCTION Q BLOCK <br /> , Q/ \FRAME STEEL Q <br /> DESCRIPTION OF WORK j �16'G-G� �(�/ ij/i/ �/ ,UGC "�-• •' '� J "JE E-� � <br /> BUILDING SIZE /� M Q „ SQ FOOTAGE HEIGHT <br /> =BUILDING $i� / n� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 3 5/h� AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES- NO <br /> BUILDER COMPANY IS <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 Y/N <br /> Address License# <br /> OTHER COMPANY 1�7 Lv�I C, . . S!c r'1 Q�' 1 �� <br /> SIGNATURE REGISTERED Y/N FEE CURREN" I <br /> �Y)/N G,( <br /> Address f� V�� /I I/ Y" '7 �� License# FT��SrLJ <br /> ©� 89H.(3itHH:@@.@•@@@@8`@ @09Q@@@i} @@@ H@ >� @@@@�8@II@� @ � @@@@� @t9@� 8@ >� @� QTsaF@H@@d <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$7600) <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 />