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' 813 -18U -UUZU LIty ut Ltsptlytlima 1 c tttIIL r - .NpJuwa..u�.. Building Department Date Received — & t� a r Phone Contact for Permittin. -- Owners Name takAl 1 b • (aY Owner Phone Number - 700 3 6 Owner's Address 37" l W(11 90 1-1:04.10CRZeS Owner Phone Number I Fee Simple Titleholder Name Owner Phone Number s I I Fee Simple Titleholder Address JOB ttIDDRESS 5 505 A -lit a . Z -Q \ij4(lI S ) s—c-R--- LOT # I S 42 f SUBDIVISION PARCEL ID# it '� 1 — 00( r 1 Day- ' 7 - OoS l (OBTAINED FROM PROPERTY TAX NOTICE) WORI4 PROPOSED NEW CONSTR ADD /ALT 1 SIGN 1 I MOVE I I DEMOLISH INSTALL REPAIR � cof - PROPbSED USE I I SFR I I COMM 1 1 OTHER I I TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 I STEEL I OTHER DESCRIPTION OF WORK PIO o h uctS e, W ( ( €` o f BUILDING SIZE SQ FOOTAGE \P 00 HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C, I I PLUMBING $ 4 I I , MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI Y I I GAS IK ROOFING I I SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I , INO 1 BUILfIIER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ELECT, RICIAN COMPANY SIGNATURE REGISTERED I Y 1 N 1 FEE CURRENT 1 Y/ N I Address 1 License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY • SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I A ddress I • • -i ill License # or y CO MPANY `1ZWt t (A OUP \� '�'- � ' ` -Ittbii -4 rr (-- . REGISTERED L Y/ N I FEE CURRENT Y I Address Eff M M >:0 Liu -S / License # 1 CC-C (3 ZS %s RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans vy/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. ;Owner & Contractor sign back of application, notarized !If over $2500, a Notice of Commencement Is required. (A /C upgrades over $5000) ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Piot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW