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01 i- CCU -uswx L,Ity OI.Lt pIIyt <br /> Building Department (I J -tf'. <br /> Date Received ` �� �/�/ - j <br /> Phone Contact for Permitting — <br /> Owner's Name L Y' Ct r 1 0 S Owner Phone Number <br /> S Owner's Address Ll 1 2- F 1 ' 6, 1 41 p tr Or Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS M f ( -3 L ) L:L(c w'� 0 C( LL ' p J LOT # <br /> SUBDIVISION (Ie reid-' t J t .- PARCEL ID# 12 Z L L/_. of L W O On -- 69 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR Q COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION n BLOCK Q FRAME [1 STEEL n I I <br /> DESCRIPTION OF WORK ii IZG f y j / f[ Ve1/2 J . <br /> BUILDING SIZE SO FOOTAGE (( HEIGHT <br /> BUILDING $ ` i V X 0 VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ 7 AMP SERVICE nl PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREtt 1 Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE1 I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI. 1 Y/N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER /` y1,r_ f�;/ ?I d �j <br /> COMPANY f n . cli. /"c j <br /> sTERED SIGNATURE (2 %"" �/�c— I Y / N FEE CURREI I Y / N 1 / <br /> Address / 1; c k' Pik � H /-1,1 I ,1) r ''` / fits- 7 , License # CC. .r <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 Fadlities & 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 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/Footaga) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />