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Building Dept turent • G� <br /> G^f <br /> Date Received / j �,,, 676 f _ S95 _ (, <br /> 6 I Phone Contact or Permittin• f 0 ✓9 `� 16 <br /> Owner's Name `.\ \--..\—g....— Owner Phone Number t 49aki -c z <br /> Owner's Address t A\ 2.0 2 1'"" ' 1 1\ - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6 / Li 'J e \\- A v0 k. \ <br /> ' \LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN ( I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM I OTHER 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME I 1 STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK ? (�' <br /> yC � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 11111 W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1 YES 1 1NO <br /> • <br /> BUILDER COMPANY gliP\Q 1 ` .r N <br /> SIGNATURE U REGISTERED Y / N CURRENT Y / N <br /> i <br /> Address License # <br /> ELECTRICIAN N COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED ( Y / N _I FEE CURRENT I Y / N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE ' REGISTERED 1 Y/ N ' FEE CURRENT I Y/ N J <br /> Address ( License # <br /> OTHER t 1 COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <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 (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 /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />