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<br />tf "I,j-I OU-UU4U <br /> <br />'-'II.J VI "-........11:/11........ -........ .....r-..------. <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address ' n <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />137'1,,1<' -w.,.,gnh-A11 RA <br />I I PARCEL 10#1 <br />El <br />D <br />D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />l-'re. nKY <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADDIALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <ti?.IYY"l <br />sa ~OOTAGE I <br /> <br />BUILDING SIZE <br /> <br />.,T'....."............. <br /> <br />.......................,...."...............,.... <br /> <br />D <br /> <br />BUILDING <br /> <br />LOTj <br /> <br />D <br />D <br />D <br /> <br />(OBTAlNEO FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />I <br /> <br />........".,....,..........................'..T"'.,"",....... <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br />D <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALlATION <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennit for new construction, <br />Minimum ten (10) worKing days after submittal date, Required onslte, Construction Plans, Stonnwater Plans wi Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site WorK Pennlt for subdivisions/large projects <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Pennlt for new construction. <br />Minimum ten (10) worKing days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wi Slit Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Pennlt for all new projects. All commercial requirements must meet compliance <br />Allach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />ijl~~~ii~~~~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ............... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <br />Fill out application completely. <br />OWner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized leller from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of AppllcaUon Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />RESIDE <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PlotlSurveylFootage) <br /> <br />Driveways-Not over Counter If on public roadwaysuneeds ROW <br /> <br />YIN <br /> <br />LY.L!U <br /> <br />FEE CURRENT <br /> <br />................ <br /> <br />............. <br />