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0 J'!UU-UVLU �,J+� q <br /> B � ding r / WI <br /> Building Department / I <br /> Date Received — di; !/3 — S3/ <br /> Phone Contact for Permitting <br /> Owner's Name � LAS S -t 7 ZJ k1C / Owner Phone Number <br /> Owner's Address .3 f 3 61 C. le, v / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3/36/ (- - / LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fkl NEW CONSTR ADD /ALT n SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 I FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK 46J /) //, L Xi-e4 cc(b/- <br /> BUILDING SIZE f Y 3 Q SQ FOOTAGE ° � d / HEIGHT <br /> MI BUILDING $ Is . d-' VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C, <br /> I I PLUMBING <br /> 4 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , <br /> 1 GAS I I ROOFING 1 ] SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES I INO <br /> IIIIIIIIIItt11I11111IIIII11tt11It11II111111I111 H Hitltlllll H . IIIj.�IIO it H111111IIIIIIIIIIIIIIIIIIIIIItt llllt tllllllltlllllli11t1111tltlllil <br /> AI <br /> BUILDER Q� / /f, � COMPANY i �J i �'�� - (tic -/K �-!�L . <br /> SIGNATURE v �L "u--t i - L - e ' 7 REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address G W/d (iy R I Z. / F . 331-1744 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N I <br /> Address License # <br /> 1111111111 IIIII 111 t 111 11111111t1111111111111I11111111111111111111111111111I111111111111111111I11111111t111111111111111I111111111111111111111111111 <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> W n <br />