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Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name/' ? (� /, 2 - <br /> C• [ �/ L /� Owner Phone Number <br /> Owner's.Address ,�(% r'r�l �' �' f •i <br /> 1 -• / �� Owner Phone Number. <br /> Fee Simple'Titleholder Name L Owner Phone.Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ' �G ) 5 (l i.. f ] gJII�F �� � J LOT# LA 6Y . <br /> SUBDIVISION //. f 1 � PARCEL ID# , )J lv`LQ� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE . = SFR = COMM A OTHER I <br /> TYPE OF CONSTRUCTION = BLO/C-7K�, /0 FRAME �}� STEEL <br /> f = <br /> DESCRIPTION OF WORK -�F/�i �'��� �(,[•��/ � �/ �'C.• •' '✓4, J /rLJ <br /> BUILDINGSIZE l 'Zfr SQFOOTAGE© HEIGHT / I <br /> BUILDING $ ' I /�22 /V� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �l� AMP SERVICE PROGRESS ENERGY = W.R:E.C.), <br /> =PLUMBING $ 47',,`� <br /> =MECHANICAL $ �QV VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS )' / _n( FLOOD ZONE AREA =YES NO <br /> BUILDER. COMPANY II <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. <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY r✓/,tJ�`� ,I��IGG� ,%G�J/ J(J1 �U/1ijG�/ <br /> SIGNATURE UREGISTERED Y/N FEE CURREN ��Y/N Ca' <br /> rl-L <br /> Address V�l ��. License#. r(,� V • I <br /> 9 H'ofl.08II@li :Hlt � i9@ 'Ltr11S11 i; altllH 400Beguide111 .2-8aiyaggeaaM & fl622H§ 1g1661 <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 /> ,ate <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 />