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Building.Department <br /> 'Date Received 2 �!1 <br /> ' W/ <br /> /j <br /> s .t 8 r Phone Contact for Permitting <br /> g € ( } <br /> Owner's Name�' 9 ll <br /> Owner Phone Number ~ <br /> ,.Owner's Address <br /> Owner Phone Number . <br /> n <br /> Fee Simple Titleholder;Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address. A <br /> JOB ADDRESS t(✓ _ J ! 1 i '' G, lj (; .. � I11/�'( L ✓ LOT# <br /> SUBDIVISION. /r./G•r 1 f . PARCEL Ili (,� p� /'0 iR <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q DEMOLISH . <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE SFR COMMA OTHER <br /> TYPE OF CONSTRUCTION BLOCK. Q FRAME STEEL Q <br /> DESCRIPTION OF WORK /1';� Z •�/ r /r�� �• -' ,�' '�r%r �G C'i/ r( <br /> BUILDING SIZE v!/� tF'l j SQ FOOTAGE p� HEIGHT j.- !J <br /> =BU1LD(NG VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE <br /> /') / /)� 0 PROGRESS ENERGY 0 W.R.E.C. <br /> 4=PLUMBING $ F / i`�' <br /> =MECHANICAL $ M0 VALUATION OF MECHANICAL INSTALLATION <br /> l l�(J <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER. COMPANY +i <br /> SIGNATURE REGISTERED Y/N FEE CURREN. <br /> Address License# �- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y-/N FEE CURREN Y/N = <br /> "Address License# F � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/.N FEE CURREN Y/N <br /> Address License# <br /> /h��G% C/l 11�' �Guuc��: ,emu <br /> OTHER COMPANY -� 11 <br /> SIGNATURE j REGISTERED Y/N FEE CURREN Y/N �� <br /> Address V�!' ' , �� License# <br /> :9499@:a*8:8aa11.8a age_slaigi aa.zv € ii � � � OOF � ajS -g.vg lgagigggg08.gtt�8"tt �ft���.� � t4Bel <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$2600,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/Surrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />