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Building Department <br /> Q <br /> Date Received a p U Phone Contact for Permitting D�� �9 wv� <br /> Owner's Name JCJ Sod`t oU 4�e` S f M S Owner Phone Number �sa ' Sto� a S oo.: , <br /> Owner's Address . LQ U f C*A (`_ m ffla f LO r '-owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder'Address (�� I I <br /> JOB ADDRESS � 71P I LC(()f d 1�l a-im�►'lodC- D( y �t`� r( LOT# <br /> SUBDIVISION U n PARCEL ID# N -a s-a 1- o l o o- bCyx0-oD�10. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW,CONSTR ADD/ALT SIGN 0 MOVE DEMOLISH <br /> Ed _ INSTALL e REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION ' Q BLOCK FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK re-fpor} c�3 S i Fa. �1Q(� S�( -� �� 4•I S q�U �rC lJ�l_ �I 10(�a(�` <br /> BUILDING SIZE SQFOOTAGE HEIGHT A51,a S)UPe <br /> BUILDING $ ] 0 /�/1 V(� VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> i <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � v <br /> 0 GAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA 0 YES NO• ' <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y( / N I FEE CURRENT <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY l <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> . . i <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE RaGISTERED �Y/ FEE CURRENT <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REf3ISTER�D Y N ' FEE CURgENT /N <br /> Address �p�I S .S�� r h ((5 I 3�J S t f License# L ` , Ll <br /> HHHHif Hill! <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(16)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(3)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 all new'projects.All commercial requirement's 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$5000) <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 Reroofs COUNTER S we SeM e <br /> RMITTIN Fqnt of Upgrades lication A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..rieeds.ROW: <br />