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.--, .. <br /> ais- dau -uuZU L Ity ol.Lepllyri tiii ' r unit Fl pirt..[luur i , ° •"" <br /> Building Department <br /> Date Receive , j q ff Phone Contact for Permitti <br /> 'L c/ <br /> Owner's Name t. A `o ) 4 l Owner Phone Number <br /> Owner's Address j 0 : 3 3 ? S/ L Y Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address 7 7 <br /> JOB ADDRESS s J �' � 244 1 / / LOT # fit I 4 <br /> SUBDIVISION PARCEL ID# / I — / Y )- V l 0 -- J / p ` - -- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 1 V f ADD /ALT I I SIGN n n DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE n SFR Q COMM n-1 OTHER 1 I <br /> TYPE OF CONSTRUCTION n BLOCK <br /> Q FRAME I I STEEL n I <br /> DESCRIPTION OF WORK ! ^ /e.-0 ?` I / 6 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING )d/ I✓ VALUATION OF TOTAL CONSTRUCTION <br /> !! ! <br /> j (ELECTRICAL $ / AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> I PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i (GAS I ROOFING Q SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I YIN I <br /> Address License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y 1 N I <br /> Address License # <br /> PLUMBER • COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI, I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI' I Y/ N <br /> Address / �✓ Ucenssee# <br /> OTHER -.)(V471\----- COMPANY u" �f f r `- i�� <br /> SIGNATURE - REGISTERED I Y/ N I FEE CURREI. I Y / N 1 / <br /> Address ,5 3 3 r1 - ,� / M License # 1 t O0 6 .G 7 / <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 onslte, Construction Plans, Stonnwater 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 onsite, Construction Plans, Stornwater 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 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 If shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />