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Building Department <br /> ate Received Z —ZZ Phone Contact for Permitting <br /> -A-fl-lT-p-gam-p- -- <br /> . r r� <br /> wner's Name PILLJk( U�'l C 00 N� x'u) LL G Owner Phone Number l C�� �� •� <br /> J <br /> F��lk�i�d�ur�' ( iV�rblli:�r� L <br /> wner's Address 1 Owner Phone Number <br /> !Q , <br /> �e Simple Titleholder Name / !4 Owner Phone Number <br /> se Simple Titleholder Address !!'t <br /> DB ADDRESS r Vl1l� �V G I� 536 LOT# D <br /> UBDIVISION �D�;�S J�S�Cl PARCEL ID# D - a 'D�vt/"DODC,? ) O Dv <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> /ORK PROPOSED a NEW CONSTR R ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> ROPOSED USE ® SFR. 0 COMM OTHER <br /> YPE OF CONSTRUCTION `BLOCK [_] FRAME STEEL = <br /> 1ESCRIPTION'OF WORK <br /> IUILDING SIZE SQ FOOTAGE HEIGHT _ 5116;0�A- <br /> BUILDING I7,; VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �`o� AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> 1 f� <br /> =PLUMBING $ l . 0 O <br /> =MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION <br /> 0/1417 <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> 7INISHED FLOOR ELEVATIONS /} n ! FLOOD ZONE AREA =YES NO <br /> 3UILDER COMPANY tale ��. �f�apm , <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ��S• 9 ! a V76(lea?,077.33T11?lLicense# L 67'a 44 Qf - <br /> ELECTRICIAN COMPANY cJvG-da �GL° !G <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address SCc 1 h [a. TWO, a/J�z., [ n r <br /> License# �C. 3C,0�7 <br /> PLUMBER COMPANY <br /> SIGNATURE ,,/ �N, ,1 REGISTERED YIN FEE CURREN <br /> Address 3133d 3-r"' ( / Jrl�� //F��l�7rg5" License <br /> ,,#,a <br /> MECHANICAL COMPANY 17MY 6 '►'Y ((��L/(lDyllf f x �r//� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYINJ <br /> R/3 i7Gr.Lti5Y7 d5tv1,�L 3�1�(v License# % % 3�7 <br /> Address Al / <br /> OTHER COMPANY r- /"` ' C`�o /�`'G <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> /19I�iv/� �r e Git /cll /3 •L/3 �g ' <br /> Address i License# 3 <br /> 00001a .0a1101afl00a0lAaaa1111II00a00a0111101111001190011811a010a100aa <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 Pen-nit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fomns.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 />