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Building Department <br /> de Received <br /> -II- - Phone Contact for Permittinj� r _ ! � <br /> IF n <br /> wrier's Name Owner Phone Number <br /> wrier'sAddress 4� � Fa1VeaJ.9(,il=L' i iv�f�ll2.{,t� L <br /> Owner Phone Number <br /> :e Simple Titleholder Name Owner Phone Number <br /> ,e Simple Titleholder Address / <br /> )8ADDRESSLOT# <br /> JE€DIVtS1ON p( ,�5 � ���� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 'ORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> QOPOSEO USE FX7 SFR E COMM [�� OTHER <br /> (PE OF CONSTRUCTION 13LOCK FRAME STEEL <br /> E$CRIPTiON OF WORK l �l��'�)S. uG l vo "- sin 1(f FR.,m"ILI <br /> r )"1 I• <br /> UILDiNG SIZE _7i SQ FOOTAGE, d - HEIGHTI <br /> BUILDING. $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR€CAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C, <br /> tf- e- (� L <br /> PLUMBING $ I f -y 00J. <br /> =MECHANICAL $ ` VALUATION OF MECHANICAL INSTALLATION <br /> =GAS �. ROOFING SPECIALTY OTHER <br /> INISHED FLOOR ELEVATIONS J FLOOD ZONE AREA YES NO <br /> IUILDER COMPANY c�lie !1��(. �V1VL_x& ? 1Z_L_ <br /> itCnNATURE / REGISTERED Y/ N FEE cuRREn p, Y/N <br /> Address loln��t5,T i I Tyrq 94, Nei 4?&)►R. License# <br /> ELECTRICIAN COMPANY � GLE GIY�G <br /> 5GNATUREU'lREGISTERED LYJN FEE CURREN L11N <br /> .,�/ <br /> Address /_ License# ?.�'Co?57 <br /> 'LUMBER COMPANY <br /> SIGNATURE REGISTERED L=N FEE CURREN Y I N <br /> Address 3/33/�� . �� ,FG 3L� 7$5 License# (2ELT qa 7,?,-7�7 <br /> MECHANICAL wf_ _ COMPANY & IDS AY /1/7 <br /> SIGNATURE REGISTERED Y/ N. . FEE CURREN I Y J�N r I <br /> �17J1� Gt5�1, `t/ License# �(�/�.(7!�?/ f 3 <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREN Y/N z <br /> Address ii9 i�rvin IJr era Gi?` ic/1 ;al 3 License# <br /> IIAB9 .B � .nA � 19At11pAATiAitBIIIIl � alii< IIIIII15D [tII10IIiII11AOAlEBB ➢ gdIIIO-[ 88flIIffR6IIII <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 wJ Slit 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 ail.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-Nat over Counter if-on public roadways..needs.ROW <br />