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Building Department <br /> Date Received Phone Contact for Permitting <br /> € 1= U000.€ 3 h. 0vww M <br /> Owner's Name Owner Phone Number <br /> /` �;=` n /�' 1' ,L• ( _ <br /> c• L . ( cif <br /> Owner's Address �(/ ra l I f' ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 4 / <br /> JOB ADDRESS LOT# <br /> Fl � <br /> SUBDIVISION /��, 1 / : (� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE SFR 0 COMM E:n1 OTHER <br /> TYPE OF CONSTRUCTION BLOCKK, Q IFRAME f� �S�TEEL,G�`� <br /> DESCRIPTION OF WORK .-r f!� /G G-L/ It �� "4• 'G. f' `lG• J lY� <br /> BUILDING SIZE ( D/ SQ FOOTAGE HEIGHT <br /> -1K-1 ` F tr— > $ _4,RL I& V.V_-ice <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / p/a O AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS /�j/` n�/ FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ,S <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 I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY Ur`c_ I/,lGG/ �� ' ✓llG�a')�J f r'Gl�� °2Z'G� <br /> SIGNATURE p REGISTERED Y/N FEE CURREN �Y/N ,(( <br /> Address A V ail lI v l �� License# <br /> 0� 0a0.599999.0"0 & liaag : [ 08a VggriE0aaUag0iiIUaRu0@ttt q a rd R a a a a u g IiI a U U g g W a av0al <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 />