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y I J - I UV'VVLV lriiy UI LCpi IyI I i i i i J r C l I I IR /1)JpIIUdUUI l a I GA - U IJ VV - VVL I <br /> - Building Department 0/07/ ?J- <br /> Date Received Phone C ontact for er <br /> Permitting ) - <br /> 1 1 1 1 1 1 1 1 I 1 1 1 ii.., 11111111 [111111 1 1 1 1 1 <br /> Owner's Name E y 1C' 1--1, i r( reil n 9 Owner Phone Number <br /> Owner's Address 3C.7 530 5 � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address C� <br /> JOB ADDRESS J S2D /� J ✓ P. LOT # <br /> SUBDIVISION PARCEL ID# I ( -7 - ? I ._66\ l O - / ( C 3 ( -- C o I 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR u ADD /ALT 1 1 SIGN n DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE n SFR n COMM I I OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK IT FRAME I ( STEEL L= �� l�'' <br /> � f / y � �j � <br /> / 7(� <br /> DESCRIPTION OF WORK �L7i S /// / ( t ) -�A /ZC %La/GeC U/"` `--� C <br /> 91) r s/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C2 <br /> BUILDING $ ZI 'lGj�`,° 0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL L165 J65 AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> T ]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 I ROOFING [] SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 1YES NO <br /> • <br /> 1 1 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address v License # <br /> ELECTRICIAN )I 1 COMPANY Y I �►V�Q / V / � 70 <br /> SIGNATURE 'C y t REGISTERED N FEE CURREIN Y/ N 1 � <br /> ? ' / ,may � ,,,/) /"� �/� <br /> Address s f r i V C1 V LQ - T S i (J q ' 9 License # "&. .. ,.t <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREIN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address fl" License # <br /> OTHER �, ` C OMPANY / h V d b J /qAJ (� /U <br /> SIGNATURE Yc4rfri REGISTERED e N FEE CURREN 1 Y/ N <br /> % Address 17- f ?w c 1 co(a, l -J ) G/ 8 7 License# *E-S W2)�� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 PFD 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 (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />