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Building Department <br /> Date_Received. �f <br /> Phone Contact for Permitting Vs 1 2 Z) } q <br /> Owner's Name `"� ! G- �� Owner Phone Number ��' � � <br /> Owner's Address , i' '�l J, ;' f G Owner Phone Number <br /> Fee Simple.Titleholder Name /j� Owner Phone Number- <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS, `f r :! i (/ l✓ .• L- i/ill /cL.�q5 LOT#. f <br /> SUBDIVISION PARCEL ID# (/ oG ld` of �'.v� �" <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW e CONSTR ADD/ALT SIGN Q Q' DEMOLISH- <br /> INSTALL 8 REPAIR <br /> PROPOSED USE. SFR Q COMM �— OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME i� STEEL 0. <br /> J 7�,j- <br /> DESCRIPTION OF WORKG`G�� <br /> BUILDING SIZE 17VJ:x .JO j - t j �.SO FOOTAGE. HEIGHT. <br /> -IL IL PLIL IL IL X-ViE-Wil <br /> BUILDING r$/G// py�-"/� VALUATION OF TOTAL CONSTRUCTION <br /> JT OLD_i�. <br /> .=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R:E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ / 4r 0� VALUATION OF MECHANICAL INSTALLATION. <br /> =GAS. 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS j FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> L-1, <br /> SIGNATURE REGISTERED Y/N FEE CURREN _ L_]LLNLJ <br /> Address - License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address. License# ~� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED . Y/-N FEE CURREN. <br /> Address, License# <br /> MECHANICAL COMPANY <br /> .SIGNATURE REGISTERED I Y/N I FEE-CU"EN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN �YJ///N <br /> Address VZ� License# <br /> i llitlt.tt'lali t:s.1-1assi ! it $ lt lH€ a.1a-a 1a [all1aa It's aIaita It:aaaI-aIaa11t-a1.1a2. €2 € 1ai <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 Worts Permit for all new projects.All commercial requirementsmust meet compliance . <br /> .SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —"PROPERTY SURVEY required for all NEW construction. <br /> Directions:._. <br /> - <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 Aftomey(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 />