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Building Department <br /> Date Received ` .. . <br /> Phone Contact for Permitting ( � ) Q <br /> Owner's Name. ` �• r Z:" C�� . ,�,• ,! Owner Phone Number <br /> Owner's Address 2�t%fr�� J. j Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number . <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS rI f L" !� �G� J (ZG �1 `r /C- <br /> L• -5 LOT# <br /> rR <br /> SUBDIVISION. 1. . I �. •qo PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> :WORK PROPOSED NEW CONSTR ADD/ALT. u SIGN DEMOLISH <br /> H INSTALL R REPAIR <br /> PROPOSED USE. 0 SFR = COMM OTHER jj Zr <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME /}0 STEEL 0 <br /> DESCRIPTION OF WORK f �G�l. �/ / � ����� uG• ? �� S /7'L J <br /> BUILDING SIZE D�h� �� SQ FOOTAGE HEIGHT <br /> =BUILDING To VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0. PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION <br /> D. <br /> =GAS 0 ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA :=YES NO <br /> BUILDER . COMPANY li <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 LN 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 I FEE CURREN Y/N <br /> Address (� / � License#. <br /> a a1161:Q5@ila : :886aFil I1 :3: fI1a0il1g 1? O5a.ugitlstt@FlurIAgattasigtlallUl aasaxlt lIdlF80l. <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,Storminrater 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 /> _ - - - - - - <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 />