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613- rdu -UUZU ..Aty UI- GCFlllyllllll, rCllllll %pplluGlrul ��.....- ....rvv.., <br /> Building Department <br /> Date Received 9-- / /0 Phone Contact for Permitting ( ) <br /> Owner's Name Robe/ Lydia /6 � Jf ' Owner Phone Number <br /> Owner's Address '0 Or, bot V0Lo0 ,51�'A '/e F1 5 37 4 tn er Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 53 /b // ' Sf Zt-pL7 a 4 t 1 l S LOT # <br /> SUBDIVISION PARCEL ID# 11 -2. 1. 2 / - tin J — 1 7I0 D - 0100 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ( I NEW CONSTR ADD /ALT I SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION n BLOCK FRAME r 1 STEEL n I I <br /> DESCRIPTION OF WORK e r o eF 1..// .7 7{ 4 ... e A F ArpAt /1 AP 1 7 . <br /> BUILDING SIZE SQ FOOTAGE 27 HEIGHT <br /> BUILDING $ l lc: oa VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE [n PROGRESS ENERGY n W.R.E.C. <br /> nPLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING fl SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I YIN <br /> Address Ucense # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE1 1 Y/ N 1 <br /> Address I Ucense# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI. f Y/ N I <br /> Address Ucense # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE. f Y/ N I <br /> Address 1 c J' Ucense # I ,/ <br /> SI <br /> OTHER GNATURE 11 % � i %i'`AC ' COMPANY C/ Z �� 1 /Lf <br /> RLS Y / N I yL �j <br /> �` 77 REGISTERED Y / "'NNN FEE CURRE� 1 Y / N f <br /> Address Pe 6o.r iIr ` 1; it /44.1 305" 1 b Ucense # I CC c , C T . 717 7 <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 (1 0) working days after submittal date. Required onslte, Construction Plans, Stornwater 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 57500) <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 />