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U I U UU - U V . V . .� �/f ...� r B � iding - - Department q 3S r Building j Date Received D - 17 Phone Contact for Permitting 0 J3 77G - 531 Owner's Name Ft2/I_ e Pf 164a/k& Owner Phone Number 7 ht. —! 0 Owner's Address 4 dV9 1I '4( ,,,JfJJJ // Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address (/ /; /� ( // JOB ADDRESS CL D7 7 l a " fJ F LOT # 7 ! SUBDIVISION V Aria / PARCEL ID# OoL 0. -- o1 a /Gh - 0d (W 09 /d (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED FA NEW CONSTR I J ADD /ALT I 1 SIGN n MOVE I 1 DEMOLISH MI INSTALL I REPAIR // PROPOSED USE 1 I SFR I I COMM OTHER 1 Q 64—Au /f 0/Y) I TYPE OF CONSTRUCTION I I BLOCK ��, I FRAME 1 1 STEEL I I OTHER I I u DESCRIPTION OF WORK cr\ 1 T U BUILDING SIZE /I/ / X 7 / FOOT E `V' L i t HEIGHT BUILDING p VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ - U AMP SERVICE PROGRESS ENERGY n W.R.E.C. I I PLUMBING $ ,;w e4 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION "' I GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER / FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES I IAC IJ BUILDER T f �'� �" tnU� CI O Lt SIGNATURE �, elf - �✓ �"� COMPANY REGISTERED I Y / N I FEE CURRENT I Y / N I Address 3 75 a 7 4 A .' 1' u &Zense 6110 I/ ■ ELECTRICIAN PW �� % / ! `�� COMPANY 7L ')( SIGNATURE / ire%"" Jot.- REGISTERED I Y / N I FEE CURRENT I Y / N Address f G ( j' 7 l ' / 4 `r• 7 $'4 F/ ' 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 Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 Address License # 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 w/ 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 Attorney (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 A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW