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b1.5- /cu - uuzu t,ity oi.Lej.JilyllI rellIIIL r+NNucauun ,. ^- ., °- ,� .-..° °, <br /> • ' Building Department l/y <br /> Li 7 J ) 1°61 ; ` Date Received Phone Contact for Permitting / - Lt�`� <br /> /J <br /> Owner s Name ( G /) ( Lif Owner Phone Number �( <br /> Owner's Address 5 S Z Pt, ✓ Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / <br /> JOB ADDRESS J 2 5 2 J / UJ J1 .. I LOT # � <br /> SUBDIVISION , PARCEL ID# // " 2 / - dV/ /,'‘ 00 /YG <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _ NEW CONSTR _ ADD /ALT 1 1 SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR Q COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION n BLOCK 0 FRAME 1 STEEL n ) 1 I <br /> DESCRIPTION OF WORK 6 ; A d 1J r z,4,/,-,,,, J ./. 1 e 4,- J i 1 C - /J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ y 5 VALUATION OF TOTAL CONSTRUCTION <br /> 1 $ J AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> nPLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1GAS T ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> I11I11111111111111IIIIIIIII11I?I IIIIiiii Hii+H- FH Itlt�i 1iiiIIIIIIIIIIIIIIIIIIIIiiii iIIIIIIIIIIIIIiiI IIIIIIIIIIIIIiill <br /> BUILDER v ' 5 `l COMPANY s �� a , 1 / d ;.i 4- let oi - r9 /H /, 43 <br /> SIGNATURE / l� t7 REGISTERED � IjJ FEE CURREJ' pm,. <br /> Address License # -re L /J / /f0(Yr <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREA 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREI I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI. 1 Y/ N 1 <br /> Address Ucense # 1 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRE' I Y/ N 1 <br /> Address Ucense # 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 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 (10) working days after submittal date. Required onslte, Construction Plans, Stomiwater 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 />