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uiiy of Gepnyrniiis rermii Application rax-ts'I3-iau-uuzi <br /> Building Department <br /> Date-Received ' L j L - AL, <br /> Phone Contact for Permitting ( } L� Jc� <br /> a'saEE <br /> Owner's Name ". t/11� ,! Owner Phone Number <br /> Owner's Address r%� f �LO(;wner Phone Number <br /> Fee Simple.Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address / / !,, <br /> JOB ADDRESS J �� G' Zf ��//k� L LOT# <br /> SUBDIVISION z4di4414' PARCEL ID# - / r l - 2 yt� � �r�`►J�U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT C] SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE- SFR Q COMM �� OTHER Z <br /> TYPE OF CONSTRUCTION Q nBLOCK <br /> � 0� ,. ,FRAME � STEEL <br /> DESCRIPTION OF WORK p` r G'Z �/ lZ�/ 11_ �L/JA• * ') .. .�J f 7'rL-) <br /> BUILDING SIZE 1 191 x .�7�d� SQ FOOTAGE HEIGHT- <br /> E <br /> BUILDING $ j/ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ — G,f AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �, <br /> ,=MECHANICAL Is -6 <br /> / (o® VALUATION OF MECHANICAL.INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS l r1 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY cS <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE- REGISTERED Y/N FEE CURREN Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y I N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# F �. <br /> OTHER COMPANY M <br /> '/�� <br /> SIGNATURE / REGISTERED I Y/N FEE CURREN I <br /> �Y)//N <br /> Address r License# �j <br /> •:lilts..E:1EtI[ 111t.11-t915:9999 FiiE at all2.1 r21999192:2219 �EtIEE1f� EE:1<1t [iI � l:iIt1F1 <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 Form s.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.'Required'onsite,Construction Plans;'Stormwater:Pians w/Siit: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$2500i a Notice of.Commencement is required.(A/C upgrades over.$7500) <br /> *° Agent(for the contractor)or Power of Aftomey(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 />