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1:11J- 1nU -UUZU Ulty UI.Lt pJIyII rCllrlit /Yf/IJUL:cuui <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name C4 / Owner Phone Number i I <br /> owners Address ��M Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2 7 / -9Z1 � /1014.A Z� 7fl i' LOT # <br /> SUBDIVISION / PARCEL ID# /A C 6610 - vij( ` O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 1 i X ADD /ALT r SIGN (- n DEMOLISH <br /> INSTALL jJ REPAIR <br /> PROPOSED USE I SFR ®/ COMM ] OTHER 1 <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME I I STEEL n • <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> nBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ /Z.4.., AMP SERVICE at 1ROGRESS ENERGY Q W.R.E.C. <br /> (PLUMBING $ J l) <br /> I MECHANICAL / l � <br /> $ VALUATION OF MECHANICAL INSTALLATION <br /> �—IGAS n ROOFING rI SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r1YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI, I Y/ N <br /> I <br /> Address A License# <br /> ELECTRICIAN ' illini C OMPANY I& ( � /7CCJ ( `�' (c <br /> SIGNATURE , _ REGISTERED I Y/ N 1 FEE CURREI. I Y/N <br /> Address 6 / License# IeZi a <br /> PLUMBER COMPANY • <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt. <br /> 1 Y/N J <br /> Address <br /> Ucense # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N ( FEE CURREI I Y/N I <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN. I Y/N I <br /> Address <br /> 1 Ucense # <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 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 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 (PlottSurvey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />