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Building Depart'„ ■ • Date Received r --(0 Phone Contact for Pei : nittin . IY 1 15 3t. - 1 G � J i 1 sp G Owner's Name o,uva ---q" -� v 4 ` ('i Owner Phone Number 7 7 0 'C� Owner's Address 1 1 n t S v a Owl 1 Owner Phone Number I Fee Simple Titleholder Namel I Owner Phone Number I , Fee Simple Titleholder Address I JOB ADDRESS 1 � G, VV) LOT # SUBDIVISION 1 I PARCEL ID #I r2 2.`h -2-I -- -6CIOco- OOC)O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I INSTALL W CONSTR I I REPAIR �Y O MOVE DEMOLISH PROPOSED USE IXJ SFR 1 1 COMM 1 1 OTHER 1 TYPE OF CONSTRUCTION D BLOCK L 1 FRAME 1 1 STEEL n OTHER 1 DESCRIPTION OF WORK I P Q ' WI r l�-. BUILDING SIZE I SQ FOOTAGE I I. a L Cl I HEIGHT I BUILDING $ 10, -17 5 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. 1 1 PLUMBING Is I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 1 GAS IX ROOFING 1 1 SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA I I YES 1 . INO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 Address I I License # I ELECTRICIAN COMPANY I SIGNATURE REGISTERED I: Y/ N I FEE CURRENT I Y/ N I Address I 1 • License # I PLUMBER COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 N I Address I License # I MECHANICAL COMPANY [ SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I • i Addres • � 1 License # ^ t ,, � OTHER . � ` /— a COMPANY 1 R1 rvl a� 6, Oc , [` f V / 0) "T' SIGNATUR Ng MI L✓ REGISTERED I `Y / N 1 FEE CURRENT I Y / N I Address 304 t J C r _ ' ad ., , LI /S 3 - I License # I �ZS� - [ 3 s RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building lans; (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; Slte Work Permit for subdivislons/Iarge 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 somr.nne with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fencer; (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW