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Building Department <br /> Date Received Phone Contact for Permitting <br /> FlUalt7fa G £ T x+ - 3= a Q a. s. aul, ar u"U -.aE PE <br /> ,:f J , „ /l ,, i3 <br /> Owner's Name f. �1 , .• Owner Phone Number - <br /> Owner's Address J ' L Owner Phone Number <br /> Fee Simple Titleholder Name IVIA Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 71 �r l� _Z_ � J , LOT# <br /> SUBDIVISION I .� fj: � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR H <br /> ADD/ALT SIGN [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMMA OTHER / l fj)j <br /> TYPE OF CONSTRUCTION nBLOCK (FRAME STEEL <br /> DESCRIPTION OF WORKf <br /> BUILDING SIZE I O'X l # SQ FOOTAGE HEIGHT. <br /> MAW_IL W.If IL T.FE M_E _ -z UL C&W_i� R4L sk € <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICALCo AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 41,q7 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ti <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 I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address �) ) License# <br /> OTHER COMPANY V// �I(�` il �. 17�G!{J D� IG�GLi.�%L��/GIi <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N —� <br /> Address / ka� License# <br /> (1 � 8tiDA.999aI.ga0 Ga% Lria�l '� � � i 60 � R SOtt � � �z� Ott � � ttR:� z � � � 5 >& � 0� 11@ir �� :f� utf ® iJ <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 />