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al J- /aU -UUZU LAW H1/IJOLiCUVII . <br /> Building Department <br /> Date Received © ` ' Phone Contact for Permitting — <br /> Owner's Name r. / L f / ) v / 5 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple•Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [s 0 Y t0 Zu 3 f LOT # 4 <br /> SUBDIVISION PARCEL I13# / 1/ 2 t/ 61 4/6 �! / / J <br /> o1 v IY f (// 'ra. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR _ ADD /ALT I21" SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 2rI COMM I I OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK FRAME n STEEL e / n <br /> DESCRIPTION OF WORK rC� to d e /9y ,r ti- [. s /®Q r.(,� - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT r <br /> ILDING $ ®. ! �+� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> E 1PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS OOFING Q SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . I FEECURREn <br /> Y/N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE - REGISTERED 1 Y / N I FEE CURREF I Y / N <br /> Address <br /> License # <br /> PLUMBER • COMPANY <br /> SIGNATURE REGISTERED <br /> I Y/ N I FEE CURREr, I Y/N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE COME: 1 Y/ N <br /> I <br /> Address <br /> �) License # <br /> OTHER � J / 441/2/4/ _ COMPANY ,4 o a "-- <br /> SIGNATURE - �°Y REGISTERED I Y / N I FEE CURREn <br /> `�?? 1 Y/N � <br /> Address f 0 [.I'® ,/ � 3 G,i 3 Q ( , L License # (/Z e ©0' %Z yl <br /> RESIDENTIAL Attach (2) Piot 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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O-W Permit for new construction. <br /> Minimum ten (1 0) working days after submittal date. Required onslte, Construction Plans, Stonnwater 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 $7500) <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 If shingles Sewers Service Upgrades Ate Fences (Ptot/Survey1Foetag,) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />