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+ Building Del. .lit Date Received Phone Contact for Pe ittin . i i ! QG f - 10o ! ,, f Owner's Name \& � (14 ' 1 C.. IQ-)' �. . �1 k Owner Phone Number I ! "1 / b3 - 8 Owner's Address 1 04I b S i i V QY (Q k .S Owner Phone Number Fee Simple Titleholder Namel )caner Phone Number I . • Fee Simple Titleholder Address I JOB ADDRESS SCNYY) Q/ LOT # IZ i -22-- I SUBDIVISION S j 1Ur o c i 1 C S I PARCEL ID #I C13 A O -.l - 01 Do © -- C o (,)STAINED FROM PROPERTY TAX NOTICE) % WORK PROPOSED i NEW CONSTR ADD /ALT 1 :,IuN MOVE 1 DEMOLISH INSTALL REPAIR \1'4-�Y PROPOSED USE jr1 SFR 1 _ COMM 1 1 OTHER 1 - TYPE OF CONSTRUCTION k7,74 BLOCK I 1 FRAME i 1 STEEL ) I OTHER ) DESCRIPTION OF WORK IcQ Ott S r(l W' 3 � - I ,o S BUILDING SIZE SQ FOOTAGE 13r7 00 l HEIGHT I I BUILDING $ 0( l 00 —C153 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION • I I GAS kfl ROOFING 1 1 SPECIALTY I i OTHER - FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA ) )YES 1 , )NO BUILDER COMPANY 1 SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address i 1 License # I ELECTRICIAN COMPANY i SIGNATURE REGISTERED 1. Y/ N I FEE CURRENT 1 Y 1 N I Address I 1 - License # i PLUMBER COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURRENT ) Y / N 1 Address I 1 License # I MECHANICAL COMPANY 1 • SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT l Y/ N Address ' • 1 License # I - s C_ c __ . � RSTERED 1 y hT N FEE CURRE I Y / N I Address 3644: S k i '5 27 4 0 1 ((l3 3 3 / License # 1 C 1 SSo5 I 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/ Slit 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 Pennit 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 somr one with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fence (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW •