Laserfiche WebLink
a1a- roU -U'. c. V ll[ ot. .epitytnnt� r Cnntt r+NNnuauvn �, <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> r <br /> .� Owner's Name a Y !f 1 1 v. Nil f r- Owner Phone Number <br /> tc // <br /> / Owner's Address t0 t4 1 4 0 ' 0 4i'Jej Owner Phone Number <br /> Fee Simple Titleholder Name . I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> j <br /> kJOBADDRESS 44O bi LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR fl ADD /ALT I 1 SIGN Q n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR ® COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK Q FRAME 1 1 STEEL Q <br /> o DESCRIPTION OF WORK /2--e-PC S (' I 4 C t crc -L t - r G T� xe-T' °t_{ 4— 44 '4 7,, , <br /> X/ BUILDING SIZE SQ FOOTAGE HEIGHT <br /> !BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ J t s n1 <br /> r + - AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ <br /> riMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING Q SPECIALTY 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREn 1 Y/N <br /> Address \ �' ¥C�We License # 1I ' rrrrrr <br /> ELECTRICIAN 4,64 1 __ ) s� COMPANY FEE ���C LL i ¥ / N C1 37A-16 SIGNATURE INn�.� ° 1 f /( ((G REGISTERED 1 Y/ N I FIE CURREN 1 Y/ N 1 <br /> Address I License # I lS C o) G ..5 6 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREF 1 Y/N <br /> Address l License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRE1 I Y/N <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI. I Y/N <br /> Address License # I <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 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 (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 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 A/C Fences (Pen/Surrey/Footage) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />