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Building Department <br /> ate Received Phone Contact for Permitting <br /> -f1-11-IrQ-11�-]! <br /> wner's Name E`+�.��C � U�'1 C L�(' )CLJI 0 L� Owner Phone Number I `"1�"I •1 (bj <br /> wner's AddressF�Neil lq l- 01 (- Owner Phone Number <br /> ae Simple Titleholder Name / A Owner Phone.Number <br /> ee Simple Titleholder Address ./A <br /> DB ADDRESS �G1`�D �� S ' i 0/2 Ii/�/I[lJ LOT# <br /> UBDIVISION Dais 0 mc'P PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IORK PROPOSED M NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> ROPOSED USE ® SFR 0 COMM = OTHER <br /> YPE OF CONSTRUCTION BLOCK 7�Q FRAME STEEL O <br /> IESCRIPTION.OF WORK <br /> WILDING SIZE C SQ FOOTAGE / HEIGHT s '= i'--• _- <br /> =BUILDING $�l'c 1 . , Q VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ /�Q� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ ,r` �/00 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> -INISHED FLOOR ELEVATIONS / �(d FLOOD ZONE AREA OYES NO <br /> i �5 <br /> I �-e__R r— •.J tl°I C I Y . S I Y H 1 6 >F li E Y .Q7 . M/N N/R �% <br /> BUILDER COMPANY 'afe i '►'�C. 4 ��j'� w �L� <br /> SIGN_ATURE REGISTERED Y/ N FEE CURREA Yq/N <br /> E A <br /> Address ?1a1��9,� �, , lr/2NieiJl �33�?� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE fu REGISTERED Y/ N FEE CURREN I Y/N <br /> Address Z" lCL /Y4Z Q/Y 2j L r�I r <br /> License# G L ) <br /> PLUMBER COMPANY v 1 <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address 31.33/i/� _ ��/1A)f � ,FL3G�73� License# �%��/a 7a 71 <br /> MECHANICAL COMPANY 10C 07D5 <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN YIN_] <br /> R/3 17GrL FiTll� G�SL➢I,FL 5 c/fF(l' License# i G� /?3�7 <br /> Address /en / <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N_J FEE CURREN Y/N z <br /> Address /i9-311�irvin /fir 2tv) Ui1` %G/7 lC�i 3 License# I <br /> Itltl111 .IIII111IIIItltl1lIIII11911tltltlltltl01111 (IBIIIIIIalI111 ! lIOGItlItlil0101 <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 subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R 0-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 />