Laserfiche WebLink
V IV'I VV-V VLL <JILy Vr LCFJI Iy1111110.rG1 MIL/1I.JPIILGILIVI-1 <br /> Building Department <br /> )ate Received i phone Contact for Permittin �� . �11� - •J"��� <br /> )wner t Name RLI kt Aam L Go IA. xu)L L G Owner Phone Number <br /> 7wner's Address c'Z S' Fal4ilburC&A J OWN Owner Phone Number <br /> =ee Simple Titleholder Name Owner Phone-Number <br /> =ee Simple Titleholder Address !A <br /> JOB ADDRESS /'✓ �Ur r�G��l/ �6�U� ( �/c G LOT# . <br /> SUBDIVISION �G,I L� S�D PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> NOIRK PROPOSED ® NEW CONSTR 8 ADD/ALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK ik) On,6 y z,4 M r SIn Fa%Ivi/4 <br /> BUILDING SIZET ', SQ FOOTAGE HEIGHT <br /> =BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 00 AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> LIZ <br /> =PLUMBING $ l� "T li <br /> ]MECHANICAL $ //�, `j o� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS d�A / FLOOD ZONE AREA =YES NO <br /> l <br /> BUILDER &L COMPANY G�Lfe �//Vi 13�1 GL� <br /> SIGNATURE , REGISTERED Y/ N FEE CURREN <br /> I n Y//N <br /> Address WAS, 4 T, !/et /eLl�l�LJ3�� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I l� �' �f -� License# EC.I 3 00 3-7/t <br /> PLUMBER COMPANY u dl 1 � � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 3J3�iVi% 3 �/�i�l.LiFL�✓L .� License# C 1 ya_7a_7-r <br /> MECHANICAL COMPANYICLYI�S. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN <br /> Den <br /> Address <br /> Address l� �15�1,FL 3 WcP&? License# 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N 22 <br /> Address.. //.�/7//n f�r 2G} D/f /G/7 "�Ir/13 License# L13�r'J g3�7 <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 ail 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$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 />