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ali iau -UUZU laity Oi .L I E iiyi rellnit mpplie1[1uUI1 . , ° ^- •"" 1 �/� / 0 . ge)' <br /> Building Department _ fYJ <br /> Date Received Mile 0 Phone Contact for Permittin • - <br /> Owner's Name e, , 5 OF ��DA ` ' t ' ../). Owner Phone Number <br /> Owner's Address L -- 7 5 e 2//5- e Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 1 SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR Q COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION rj BLOCK 0 FRAME 1 1 STEEL n 1 I <br /> DESCRIPTION OF WORK / lTA/ /9-/ _. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1l PROGRESS ENERGY n W.R.E.C. <br /> 1 $ <br /> 1 1MECHANICAL $ 3ao Q ,� VALUATION OF MECHANICAL INSTALLATION <br /> 1 1GAS 7 ROOFING 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREh I Y/ N 1 <br /> dres� Ucense # <br /> EL CTRICIA COMPANY <br /> SI NATUR nn n � �� REGISTERED Y / Y N 1 FEE CURREI. 1 Y / N 1 <br /> ddress 1' ILA fi > !< 41' .. License # 4 it Oe) 1) S ) <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREI. 1 Y/ N 1 <br /> Address /�/ �` License # /` (� t -tC & <br /> MECHANICAL / 1 COMPANY ` / /1,3. ( e# r' /47.0 n` �j C <br /> SIGNATURE C REGISTERED 1 Y / N (/ FEE CURREn )� z <br /> 1 Y / N <br /> Address! C� /� / / Ucense # .- . <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURREI. 1 Y/ N 1 <br /> Address Ucense # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R -O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, 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 Ufe Safety Page; (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 Penntt 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 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <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 (PtoNSur vey/Feotag.) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />