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k-,Ity orLepnyrrims rermn/—\ppllcatlon r•ax-010-10V-uut1 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name U? ���W' /- Owner Phone Number. �3- <br /> Owner's Address �U� i'1 / r j L Owner Phone Number <br /> 33h?� <br /> .Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addr/ess j Q <br /> JOB ADDRESS r f Q G Z� wh41 /C-G ��� LOT# ✓I <br /> SUBDIVISION f: � PARCEL ID# � 2 2i - ®JjC/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL R <br /> REPAIR <br /> PROPOSED USE. 0 SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION. BLL,OCCjK� Q� (FRAME /}� STEEL <br /> DESCRIPTION OF WORKS`"✓�G'L�� /lv �fL �G CSC 7 J�r�l U <br /> BUILDING-SIZE (�(K� l SQ FOOTAGE lr HEIGHT <br /> � € � €€ <br /> BUILDING $ `,s4{i VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ d D� AMP SERVICE PROGRESS ENERGY Q W.R.E.C. . <br /> OPLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> VQ <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS /' i FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY II <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 Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER --COMPANY /<C/ P" <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address jj�j �� License#. -�J <br /> ialt11111:1 alt.aaaaaall- altar €aaa as aaaavvaltaaaaaa,tl€ aa a,>laa al�:l�. a � IIaaal <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/SilYFence 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$7600) <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 />