07-6736 - Laserfiche WebLink

Browse Search

Date Received Building Department Owner's Name D BUILDING ~"",d Ro~ e..-\-s- 5+~ f ~ G\..~L R\II~ Z~I.- ,.l'\~\~ rl- ' I . LOU I I PARCEL 10#1 \I - .;;;).b-.;l(- OOiD-I~ - Cblt.. " (OBTAINED FllOM PllOPERTY TAX NOTICE) SIGN 0 MOVE 0 Owner Phone Number Owner Phone Number I Owner Phone Number I JOB ADDRESS Owner's Address Fee Simple Titleholder Namel Y V co '" t'"\e Fee Simple Titleholder Address b3~33 15~t.lO G,.,\\ I SUBDIVISION WORK PROPOSED DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE 1$ 15cO.OV I 1$ I 1$ I 1$ I D GAS 0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11II1111II1 I 111111I1 I II '; I; 11111I I III I I I 111I111 I I I 1111111111I111111I1 'd;~ ~"IIIIIII ~ 11.11111111111111111111111111111111 I 1111I1111111111 I 11I111 I I BUILDER I ~ I COMPANY ICo~"-C-l'"",\ (O~~ . I SIGNATURE /[ , ./ t- ______ REGISTERED I(!J> N I FEE CURRENT c:...r.Ll!..J Address I I License # I I (":":> .. COMPANY REGISTERED ELECTRICAL AMP SERVICE D Ins~ h' CjY\.LA- PROGRESS ENERGY D W.R.E.C, F/I')1-1)ces ()'+ need. evc.i.: N6c..~d) Ccrr,m . &ro . ~alc. 6'D VALUATION OF TOTAL CONSTRUCTION D D D PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION Address ELECTRICIAN SIGNATURE COMMERCIAL Address MECHANICAL I SIGNATURE , Address I OTHER j SIGNATURE Address I License # II I II I III I I I11II1111111111I1111II1111 I 111111I111I111111 I 111'11'1'1111" I I1I111I111111111111111111I1111I1111111111I1I1 I 1II11111 I 111111II1111III111I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Enargy Forms; R-O-W Pannit for new construction, Minimum ten (10) working days after submIttal date. Required onslte, Construction Plans, StolTl1water Plans w/ Slit Fence installed, Sanitary Facilities & 1 dumpster; Site Work Pennlt for subdivtsfonsllarge projects Attach (3) sets of BuildIng Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum len (10) working days efter submIttal dale. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanllery Facilities & 1 dumpster. Site Work Pennlt for all new projects. All commercial requirements must meet compliance AlIach (2) sets of Engineered Plans. ---PROPERTY SURVEY required for all NEW construction. COMPANY REGISTERED Y/ N FEE CURRENT L...r.L.!::LJ License # COMPANY REGISTERED Y / N FEE CURRENT L...r.L.!::LJ License # COMPANY REGISTERED Y/ N FEE CURRENT L...r.L.!::LJ I I I I I I PLUMBER SIGNATURE SIGN PERMIT DI;';'~ii~~~; .. .. , .. ... ....,.......... ..., .. .. .. .. . Fill out application completely. Owner & Contractor sign back of applIcation, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized leller from owner authorizing same 'OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers ,. Seivlce Upgrades AlC ..... .... .......... . . . . . . . . . ~ . . .0. ......... ............ .... .... ....... Fences (Plol/Survey/Footage) Driveways-Not over Counter ifon public roadways.,ngedS ROW l! ~~