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d11.1— /tlU —UUZU l,lty ui. .epllyllllil, r HIJilIIL. UUII �• + -•�� <br /> Building Department <br /> Date Received Phone Contact for Permitting - 1 09 /' 4iN Owners Name 5 (izei) 7 1� w m 'O� eC. I Q n r Phone Number 3--M2-11)) <br /> 1 L n "i y� Ave. H 4 h4 fr ' <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address ►. ` <br /> JOB ADDRESS tO1QI (o 'W;�e Rd - ! n <br /> Leht6\h∎115 LOT# a <br /> SUBDIVISION PARCEL 1D# • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR - ADD /ALT I ' SIGN n '—' DEMOLISH <br /> )C. INSTALL - REPAIR <br /> PROPOSED USE n SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME ' I STEEL n <br /> DESCRIPTION OF WORK ?OV.0 sux b (pr x 1 !p <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ' 'BUILDING $ <br /> 397. DC) VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE [ PROGRESS ENERGY n W.R.E.C. <br /> 1 'PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING n SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ' 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN. I Y/ N I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N FEE CURREN I YIN <br /> Address • License # <br /> PLUMBER • COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 3 Y/ N I FEE CURREN I YIN ) <br /> Address 1 License # <br /> OTHER RE ✓V 1 ./ ! - I COMPANY I � / )vt., � \ -i)Q <br /> Address 3 LP 0,r■S:t\3 AV.. Z 'h)>Ay'I'11V754Z License# <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 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 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 Ate Fences , ' , t •, ??��,,� <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />