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Building Department <br /> Date Received ;Z.) , <br /> Phone Contact for Permitting ( k ) RA—J. <br /> OWnees Name "`` G, 2%? (�(�/N/ , AA Owner Phone Number �J' <br /> �''" • r <br /> Owner's Address 'Z/ .A, J, ` j G Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address IVIA <br /> JOB ADDRESS 3� C� ,f / �G�� G� .. !�(i 7 I hd/_ (_t J LOT# J`Q <br /> SUBDIVISION ,' PARCEL ID# — tg ^o/iLYi/ v3&C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> .WORK PROPOSED NEW CONSTR ADD/ALT u SIGN = = DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE, SFR COMM A OTHER Jj j <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �j� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE ' � :C(!b� y : SQ FOOTAGE- HEIGHT' r )/ <br /> =BUILDING On VALUATION OF TOTAL CONSTRUCTION <br /> KV <br /> .=ELECTRICAL $ //j�� O� . . 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 G/ 1 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 6 <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/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address J} s� License# <br /> OTHER COMPANY V0 _(7 }I <br /> SIGNATURE R GISTERED Y/N FEE CURREN Y//N <br /> Address J (l�� 4d1 License# <br /> 9� fi8.8't 13g :1t8 � 8 � � 'ffre $IggaII? II't1- tlg@a-a §ilabflgaQkgagFattLO €aftai112 H a.ulaa09 <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 />