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.�., vny vi �cNr iyi r una.r vi r i n�nNNnti,auvi i <br /> Building Department <br /> )ate Received Phone Contact for Permitting ��— <br /> rrrrmISBN 11117-117-ILMINIr/� 111-11— <br /> )wner's Name PI L,k( 110 nit- Co nrt )C�.o u u c Owner Phone Number ��—"1 l4�"•✓ +�J <br /> )wner's Address 2b Z S, Fa l4fl bur 0, Owner Phone Number <br /> !ee Simple Titleholder Name / Owner Phone Number <br /> 'ee Simple Titleholder Address !A <br /> IOB ADDRESS (. W 1�i 7 v D l��l 5 LOT# 0 <br /> !UBDIVISION p(,�,I�S v� PARCEL ID# �� 241,e fee!�Ok�C0�`�"� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED NEW CONSTR ADD/ALT SIGN = DEMOLISH <br /> INSTALL 8 REPAIR <br /> IROPOSED USE SFR 0 COMM =] OTHER <br /> TYPE OF CONSTRUCTION 11 BLOCK 0 FRAME STEEL <br /> )ESCRIPTION OF WORK <br /> 3UILDING SIZE �! i � � SQ FOOTAGE HEIGHT > �' <br /> BUILDING $ f <br /> i VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ✓��, M AMP SERVICE PROGRESS ENERGY Q W-R.E.C. <br /> w �(✓i�t.� L��rG(l� <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> =INISHED-FLOOR ELEVATIONS /a�o �/�' FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y//N <br /> Address !!/ IA51 �� "� 11/E/�/ie�Ji�L•3 License# <br /> ELECTRICIAN COMPANY Jk�i46Z e_kll <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address / /� �� _ ` License# G6/2,CD 3? �J <br /> PLUMBER COMPANY O M M <br /> SIGNATURE REGISTERED Y/ N FEE CURRENY/N <br /> Address 3133 3? (�GJr�L�G ,FLU 785 License# C- 6//gala_7- <br /> MECHANICAL COMPANY /1�&46 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> R/3/7Gn fhll� GPSta1,F(� 3 a/(p(� License# 3 Z�Address - / <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> /1931�iv�n P�Jiclt <br /> Address i 1�,3 License# 3�' <br /> 111111 .1111101111l111111111llillll111 ! l111111111lIIIIIIIIIIIIIIIIIII <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$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 />