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ii- t aU -UUZU uty ULLt;(ll ryti uu' r' elinn /1i.11/uUtiuvii <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name # 07 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee SimpleTitleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address /I <br /> JOB ADDRESS 3 01/ 33 S 16 2 !� LOT ( Y'f(� <br /> SUBDIVISION PARCEL ID# 11 2 -i / — 0 0 /D —/. 909 —OOP <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 SIGN n n DEMOLISH <br /> INSTALL f ' REPAIR <br /> PROPOSED USE n SFR n COMM I OTHER I <br /> I <br /> TYPE OF CONSTRUCTION I BLOCK Ej FRAME STEEL n <br /> DESCRIPTION OF WORK ) / o 0,,r/A) p is S / /i'G- -c s <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> nBUILDING I$ 2,400, v` ' f VALUATION OF TOTAL CONSTRUCTION <br /> F ELECTRICAL I$ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> nPLUMBING I$ <br /> nMECHANICAL I$ I 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 CURREN I Y N <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN. I Y/ N I <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CORM!, 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address / �U # <br /> OTHER COMPANY ( ,4/'/ / <br /> SIGNATURE A ^t /� REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address p0 b e 1 13 4 3 //4 - C- )'T License # 1,60 � y; 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, Stormwater Plans wI 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 - 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 A/C Fences (Ptot/Strrvey/Feetage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />