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Building Department <br /> Date Received <br /> 'Phone Contact for Permitting <br /> Owner's Name t' { ( n G��a 6 Owner Phone Number. L <br /> Owner's Address ,;�lt/ r� 17,1111A' j Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> NIA <br /> Fee Simple Titleholder Address 7 /�,✓ <br /> JOB ADDRESS 7 J' f T ' .l" L� �� t, �i, )I III/' Ict � LOT# <br /> SUBDIVISION. r/ f (/ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE ! �) SQ FOOTAGE HEIGHT_ <br /> =BUILDING $ / '/ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ '7 AMP SERVICE 0 PROGRESS ENERGY Q W.R:E:C. <br /> 1.DD <br /> =PLUMBING $ <br /> 7 DV <br /> =MECHANICAL $ /�h Ov VALUATION OF MECHANICAL INSTALLATION <br /> -=GAS = ROOFING = SPECIALTY L� OTHER <br /> FINISHED FLOOR ELEVATIONS /=qj?, FLOOD ZONE AREA =YES NO <br /> 44 <br /> BUILDER COMPANY 6 <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. License# <br /> OTHER COMPANYrG� (J LGG� Sll ] <br /> SIGNATURE REGISTERED Y/N FEE CURREN jY/N <br /> Address . fl License# <br /> oaI! a88909a49.9aIi8a 8 xi ffgaVa gtfi# tt:U 80ttL ff11araafa81RaagP. F0@a@158:99.9it9F21aa9aI <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$2600,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 />