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. d1 - rnU - UUZU idly ULLepIlylll111s retu r+NNuvauvn -, <br /> Building Department <br /> Date Received ` � Phone r <br /> Contact for Penittin! - <br /> Owner's Name IW O ✓ (J L� ri.L�N Owner Phone Number . ' <br /> Owners Address _.5 D ' 7 1 Owner Phone Number ■ <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION . PARCEL ID# ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSfR _ ADD /ALT SIGN Q n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR Q COMM 1 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION I BLOCK Q FRAME I STEEL <br /> DESCRIPTION OF WORK 7 / <br /> C /.- O / 6r- j <br /> BUILDING SIZE 5Q FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE FT PROGRESS ENERGY <br /> �1 <br /> PLUMBING $ iy <br /> 11 / <br /> nMECHANICAL $ Z 75 d d VALUATION OF MECHANICAL INSTALLATION r <br /> n GAS F R OOFING n SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . I FEE CORM I Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI 1 Y/N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address 1 License # <br /> MECHANICAL / COMPANY / / GQ . re- J � 7 13 C <br /> SIGNATURE REGISTERED Y / N / FEE cURREI Y / N <br /> Address I License # / S i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y N I <br /> Address 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 onslte, 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 A/C Fences (Ptot/Surveyfeofege) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />