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V IJ-/UV-VVLV Ully UT Lepnyrniiis t'erma Hppucauon rax-o io-tou-uut I <br /> Building Department <br /> Date Received Phone Contact for Permitting ( <br /> Owner's Name , ° (i(j7�/ ���� Owner Phone Number �3' <br /> ' , <br /> Owner's Address , 01 % G Owner Phone Number <br /> .Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / 2 �^ <br /> JOB ADDRESS �Jvv, f OGl'S G _ `�� � �L �J LOT# <br /> i <br /> SUBDIVISION `. � PARCEL ID# D '�, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE. SFR Q Comm OTHER I TIV D Z) <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK S/��G2�/ Irn �• 7 �j �!(J <br /> BUILDING SIZE I o!X _7 D, I SQ FOOTAGE oS% !4j HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY IS <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <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 Y/N <br /> Address License# <br /> 'MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE, REGISTERED Y/N FEE CURREN Y/N � <br /> Address License# —�� <br /> 11621 .adaaaaa.aaasaai aaaaaaaaaaa aaa_aI[ aa.1aaa41 # aaaaaaaaaaaa1gaVltaIaaaaI <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 />