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Building Department <br /> de Received . _ Phone Contactfor Permitting <br /> tuner's Name +Ld•tC l" U(1'�"C l�U N� )l.(.11 c, (,Z Owner Phone Number l I�"�"1 l/'� •J (�j <br /> ivner'sAddress 1 L4�25' FGt��C�11�j(Ij"G iVe��1lQ./,t� L Owner Phone,Number <br /> ,e Simple Titleholder Name /r Owner Phone Number <br /> !e Simple Titleholder Address !A <br /> 76 ADDRESS ✓r-f �` ( ICI�e I�5 �� LOT# vJ� <br /> JBDIVISION V(JI/tLS D )�SC PARCEL"ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IORK PROPOSED a NEW CONSTR R ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR. <br /> ROPOSED USE ® SFR. = COMM OTHER <br /> YPE OF CONSTRUCTION BLOCK 0 FRAME, L_ J STEEL = <br /> ESCRIPTION OF WORK G(J pn S�S L�G r SIB IC G�%�`�/ILI <br /> UILDING SIZE SQ.FOOTAGE T�� HEIGHT �1iS. _:'--__•� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ n� AMP SERVICE 0 PROGRESS ENERGY = W_R_E.C. <br /> .=PLUMBING $ <br /> ]MECHANICAL $ LIUv VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING ,Q SPECIALTY = OTHER <br /> :INISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> WILDER COMPANY G�-L A C. Cr�NL� <br /> )IGNATURE REGISTERED F-Y-/—N--F FEE CURREN <br /> Address UbAS, License# C."���v� •of 5- <br /> ELECTRIC IAN COMPANY <br /> 3GNATURE REGISTERED Y/ N FEE CURREI` Y/N <br /> Address Z Scc l ) tC4 /��/yCj, a/l Zy License# Ec X?5� 5 <br /> 21LUMBER COMPANY v / �✓" <br /> 31GNATURE ✓ REGISTERED Y 1 N FEE CURREK Y/N <br /> Address 3/33�/� �i" / r�G�GG)!I ,FG31,�7��J� License# �� L/a 7 A 7 \ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address GdSLs1, License# j / 3 2 OTHER COMPANY <br /> SIGNATURE pp,, REGISTERED Y/ N FEE CURREN Y/N <br /> Address liMArvin Af Pew I-1- /G/w�R,,3 License# I <br /> 9 a 0 H n a a 0.0 0 0 a 0 1 a 0 1 1{•1{ u 0 0 a 9.9 0 1 1 1.1 0 1 11 1 a a .0 1 ll i o: a.f1 1 1 1 -0 1 0 1 a a.1 ROD a .. <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Mans;(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 Foams.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. (AIC 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 />