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O 1J VV - vvry - - ' <br /> Building Department <br /> Date Received I t a - 1 (f° 2"/ b) -- 0? <br /> 4-0 Phone Contact for Permittin, 1 �1 <br /> Owner's Name 63 ' 1 ` o 1 h Owner Phone Number B I z - i i s — Q l ed q <br /> Owner's Address 4 'C , 40 C \ -r ' A- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I I <br /> Fee Simple Titleholder Address 11 <br /> JOB ADDRESS 4(s�t0 Ch.ar 54-- LOT# 1 I <br /> SUBDIVISION hr ` ^ ,-4 N P PARCEL ID #) ( `E- 't(° -1.1" 0 a:7 0 - 0voo0 - 035 -- 00 j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR I I ADD /ALT n SIGN n MOVE n DEMOLISH <br /> I INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM 1 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION n BLOCK I 1 FRAME I 1 STEEL 1.f.. 1 OTHER 1 Yh 1 H I <br /> DESCRIPTION OF WORK ( ` ). -----'`ad and L ; Ve ko wee tnf. 4. 5 i t, PI y YYl e. w.b - ' 1 1i k SI F4 <br /> BUILDING SIZE t a 3 SQ FOOTAGE 1 \ 1 HEIGHT I <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 3aso .v0 <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENER9Y- n W.R.E.C, <br /> n PLUMBING $ 9 I. <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I • GAS ,,,1E;:r ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES nNO <br /> BUILDER COMPANY I CO vvv-co r 4 C u c r Sy d ✓V ( C - <br /> fi <br /> SIGNATURE d ,.. . <br /> REGISTERED Y / N I FEE CURRENT Y / fd <br /> Address 1 2 t■ I Qt v`_ec S-I-, \eo,rwo.4C' (,- 337S1. License# ' 1 QC co s7O i <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # 1 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT , 1 Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # 1 <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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) 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 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 /> • <br /> Owner & Contractor sign back of application, notarized • <br /> If over $2500, a Notice of Cotnmencement is required. (A/C upgrades over $5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />