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Building.Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name f' ) �? (•rO Z 4 Owner Phone Number ���" ' <br /> 71 <br /> Owner's Address 2G :n1 1 l L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee.Simple Titleholder Address, A114 <br /> JOB ADDRESS Jv J G l)) 5 41/ .. �i �1 F/II� �L ? J LOT# <br /> SUBDIVISION / :r.. � PARCEL ID# — &—2 /Ol 2LO's MLO1�0 <br /> Ir—�� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED H NEW COLSTR B ADD/ALTREPAIR u SIGN 0 = DEMOLISH <br /> INSPROPOSED USE 0 SFR Q COMM �� OTHER v ' <br /> TYPE OF CONSTRUCTION Q nBLOCK <br /> y /0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Or/� (� ' SQ FOOTAGE �/� ) �'HEIGHT <br /> lr l € <br /> =BUILDING $ /) /� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �:" AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ / VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ` :ROOFING .0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 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 y 1 License# <br /> OTHER COMPANY U(`( t�7 C�GI ' ✓l�Cn/)G� �� � I.�,j. <br /> SIGNATURE REGISTERED Y%N FEE CURREN Y/N t � <br /> Address (�� �� License# �:�J <br /> Its € € €:itilftlf .HiEI08 €- QIFi € € €"€ ! € H € H €"i @IfEIH € Ql� iifl €"# € € Iva flail 6"If€z €a % gal €I <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 />