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Building Department Tv jl a 3c! <br /> Date Received Ia � � �Ud ( Phone Contact for Permitting <br /> Owner's Name e L� l `U Owner Phone Number 1�r I "1 - l -1 <br /> Owner's Address T U V 11^m r 1Jaq Y 1 I Owner Phone Number. <br /> F. <br /> Fee Simple Titleholder Name Owner Phone Number <br /> .Fee Simple Titleholder Address LOT# <br /> JOB ADDRESS pV T (n' h6 WG- h ) <br /> SUBDIVISION l UU�� S Vary PARCEL ID# i5 a(�- l -aaao bcxx;o- 0100 . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED'. NEW CONSTR ElADD/ALT SIGN 0 MOVE 0 DEMOLISH <br /> IN REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK C] FRAME Q [ STEEL 0 OTHER r <br /> DESCRIPTION OF WORK re-�UCJf- O q 5 196�f Q S b0_0 S k 0 )e I d�a S �I G (AL. <br /> ` JO�O • <br /> BUILDING SIZE SQ FOOTAGE L HEIGHTiF <br /> BUILDING $ ��/ '\OD VALUATION OF TOTAL CONSTRUCTION j <br /> 0 ELECTRICAL $ (PV AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS 0 ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED YI / N I FEE CURRENT <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURRENT <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Licensee# <br /> OTHER ��b� COMPANY <br /> SIGNATURE _ REGISTERED N FEE CURR T /N <br /> Address �L1 12 ( I I S 3 Sy( License# <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(16)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(3)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 Ferice installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new'projects.All commercial requirement's 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$5000) <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 ` ('Front:of.Appl,ication Only) <br /> Reroofs Sewers�: ` Service Upgrades ^',:�' A/C Fences(PIot/Survey/Footage) :< <br /> Driveways-Not over Counter if,on pub lid�roadways;.needs ROW <br />