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Building Department <br /> Date Received . Phone Contact for Permitting ( <br /> Owner's Name c�? ,• < Owner Phone Number. <br /> Owner's Address (tf r1 ? j Owner Phone Number <br /> Fee Simple Titleholder NameE WA Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS �O�T°J _ !. �; ,l '��✓�� �, .. J � III'f /CZ—/..z ✓ LOT# D <br /> SUBDIVISION . ?�: � PARCEL ID# D 'Ol(,1���1''�42 ^(/vUvD D <br /> (OBTAINED FROM PROPERTY TAR NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK 21A!/ /(UJ �f �� �'G •" � `. S l �J <br /> .BUILDING SIZE SQ FOOTAGE ��(v / HEIGHT = �, <br /> BUILDING $ /N a`D J� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ,Do AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> 17 <br /> =PLUMBING $ O I—vr12tck <br /> =MECHANICAL $ �/ /�Q VALUATION OF MECHANICAL INSTALLATION <br /> =GAS �!� ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ,S <br /> SIGNATURE REGISTERED Y/N I 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 COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address %� rl (��'/ / License# <br /> fl� Hi@:a�.® OES � �:S & 0 � )� 8�• HftiE � �� � � f§ it0 8 £ Ititftig£�tt � � � � � � � � � � llgad �� 0 � >�it� �a� � ltlt8 €8 <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: y <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 />