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Building Department -- q( 6 b <br /> Date Received / 0 9 Phone Contact for Permitting Q/3 70 -- S ,3 <br /> U / red -T Own er Phone Number ' 0 /3 7 /s - / 7 J ` f <br /> Owner's Name <br /> 1 9' d,')/ 2 L 7 Owner Phone Number <br /> Owner's Address <br /> Fee Simple Titleholder Namel <br /> I Owner Phone Number I <br /> I I <br /> Fee Simple Titleholder Address // �J �- <br /> I <br /> JOB ADDRE 7 e�-d ]� d /Pep- CO ` I LOT # I 7`r <br /> �O 1 9 _ a � s Q I <br /> SUBDIVISION rili% Ji I PARCEL I#I (..X-41 d dTd _ b <br /> (/41/.2L& C � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED l NEW CONSTR I I ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME 1 I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK <br /> 1 A ld COM r 4- f xo2.d -/ I <br /> BUILDING SIZE I /0 ` X 6 I SQ FOOTAGE I b2- 1 Y I HEIGHT I I <br /> BUILDING $ 3, SVO (1) VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ <br /> AMP SERVICE 1 1 PROGRESS ENERGY Li W.R.E.C. <br /> PERMIT E. VICE <br /> I PLUMBING I$ I .813) 7(18-53141. <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES I 1 N <br /> • <br /> 1 ir �+ <br /> BUILDER / COMPANY Cr f FEE CURRENT , -/`C N <br /> SIGNATURE XICt11-41/ REGISTERED � Y / N <br /> Address C I V W For/ / L C A S Ad 2 /rF7- JJ42- License # <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE <br /> I REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 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. (AIC 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 />