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IUV-UUc.0 l,liy OT Lepilyrnins verr n/-\ppncaTiOn rax-tsla-itsU-UUz•I <br /> Building.Department <br /> Date Received <br /> Phone Contact for Permitting ( �• ) <br /> aaaaaaaa aaaaa <br /> Owner's Name v" I L A (/U7� • l 7 Owner Phone Number 0 LJ �- - <br /> Owner's.Address ?�% r`'v1 j G Owner Phone Number <br /> �7 <br /> :Fee Simple.Titleholder:Name Owner Phone Number <br /> Fee Simple Titleholder Address LIZA <br /> JOB ADDRESS ���✓ Q G _ Z� ��/�f` LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM �- OTHER I TP 2b)-. <br /> TYPE OF CONSTRUCTION BLOjCKK. Q FRAME = STEEL = <br /> DESCRIPTION OF WORK. ���� <br /> .BUILDING SIZE ,i1� SQ FOOTAGE[ HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �7 O s1 AMP SERVICE O PROGRESS ENERGY Q W.R.E.C.. <br /> =PLUMBING $ <br /> =MECHANICAL J$ 4D�, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = 'ROOFING 0 SPECIALTY [ OTHER <br /> FINISHED FLOOR ELEVATIONS I• �„ FLOOD ZONE AREA =YES NO <br /> 'BUILDER COMPANY tS <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <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 Y/N <br /> Address Lice/nsse# <br /> IJ)�/n�yy,, <br /> OTHER COMPANY V'! r <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y I N <br /> Address fllir f �� License# - 19Az <br /> II� aIFa.ltitE �ilLt6 � t61ilii� i � tEaal€Italtlt [ � Ei >F � i€l�lE � [ i� � i �lEl)!�I� a �lE�� lli:�lfi� lEfiI1 �1 <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 /> >E.�%.- - - - - - - - - - - <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 />