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Building Departn. " <br /> Date Received ' - ( 5 /O Phone Contact for Permi. n. 81) •,. - ( �' I / ( 6( / 2 <br /> i �j 2 <br /> Owner's Name • • 10/111 . • N - U' - ,. Oner Phone Number p t J ---l'g? " 3© <br /> Owner's Address I 3' 1 L 1 `S* C' IJ k ,_ t .rner Phone Number I <br /> Fee Simple Titleholder Name' O% pier Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 5 OW l �i _ LOT # 7 <br /> SUBDIVISION 1 I PARCEL !DIP <br /> ` D N I -oQlG ; - 001 ld <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( 1 :;IGN ( 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR I ] COMM 1 1 r 'HER 1 " I <br /> TYPE OF CONSTRUCTION BLOCK 1 *1 FRAME L 1 STEEL 1 1 O THER 1 j� <br /> DESCRIPTION OF WORK riear O `- - t <br /> 'o - �(a©� 1 d 'Qc---- U-)( V(�! 1 C9 VIZ �1 : c pC4. • <br /> BUILDING SIZE I 1 SQ FOOTAGE 1 5,(--'\ I HEIGHT I <br /> ecr BUILDING Is3 Q - VALUATION OF TOTAL CONSTRUCTION <br /> ) 1 <br /> 1 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I 1 PLUMBING I$ I <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION • <br /> 1 1 GAS 1=N1 ROOFING 1 1 SPECIALTY ( 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA I IYES I , INO <br /> BUILDER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 1 License # I <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 1 License # I <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> MECHANICAL COMPANY l <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> J <br /> Address • `7 I License # I `� <br /> c 1 1 1 COMPANY 1 m OY CO \-1 �'' <br /> 414 S i. f - / �. REGISTERED N FEE CURRENT T Y / N <br /> 1 <br /> MOW v <br /> Address I3 �L - 1 3 J F 5 q COY, vY1 tt S s 1 1 License # IUC .-\ 5 5 Os <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 subdivislonsflarge 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 dumpsler. 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 /> FIII 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 Attomey (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 />