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l.lty OT z-epnymnis vermit Hpp icati0n raX-01IJ-1csU-UUz1 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> a €ea9,ss4 ' <br /> Owner's Name r �,• Z A77� ' ! Owner Phone Number ' <br /> Owner's Address .n i 1 s j Owner Phone Number <br /> Fee Simpie Titleholder NameNil Owner Phone Number <br /> Fee Simple Titleholder Address �} f 7,� a J j� <br /> JOB ADDRESS •� / _ t/� r (r(i 11II ✓ LOT# <br /> SUBDIVISION �/� L j j , io <br /> PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE)' <br /> WORK PROPOSED NEW e CONSTR ADD/ALT SIGN � Q DEMOLISH INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER I T7 ' <br /> TYPE OF CONSTRUCTION Q BLOCK <br /> � J Q FRAME J STEEL <br /> DESCRIPTION OF WORKr GtJ /��YL �L •"G 7 ' SG-Nif �J <br /> (� om,� !BUILDING SIZE (�1� tJ. � � SO FOOTAGE HEIGHT �t) . , tf <br /> t <br /> =BUILDING $ / f j fj!} h� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ) 09 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 1 � <br /> =PLUMBING re <br /> Wo,1f'1 <br /> =MECHANICAL 1$ Wj7`,rvf� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING <br /> Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS C FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ,S <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y YN <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 <br /> Address License.# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN ppY./N <br /> Address l T _�� License# <br /> 1:I212..Iiltv1.1211929 5 #22172912.2.9 2 vats stavallatematlialltitlflll:tgffvgl[ 9211 <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$2500i a Notice of Commencement is required.(AiC 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 />