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01J /11U - UUZU kitty ULLepr lyrl llllb - retina f1IJIJruUGUVII , ....- .....- V <br /> Building Department <br /> • <br /> Date Received <br /> 9 r //(--) Phone Contact for Permi g( 2 7 2 • ._ / / 1 <br /> /� r — 74er 6 <br /> y I (� <br /> Owner's Name /} t✓'fy C .� / C / /�fij (J �'• � �� / Owner Phone Number <br /> Owner's Address 6j / �,a 5 ° ..7 / / ' -e* 1.- 0 G / " 1/ Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address /) � /� <br /> JOB ADDRESS 6//o - / /L- (I� j ` //Y LOT# / !2 7 <br /> SUBDIVISION ,S /Ivlk L•fk( /W PARCELID# a 3 -24-1/ -- 0 )2-iJ - OOp /)p -/ C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n n DEMOLISH <br /> — <br /> INSTALL REPAIR <br /> PROPOSED USE rI SFR Q COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK 0 FRAME STEEL n - / A I I <br /> DESCRIPTION OF WORK fit/ / A 1 / 4j/�5 PDT/ D j c t [ / )( 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �'� BUILDING $ ,,.. <br /> � aat) (VALUATION OFZQTAL.CON$TRUCTIOF? <br /> ' FIELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY r W.R.E.C. <br /> PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> E1GAS EI ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO AREA nYES NO T - BUILDER / �F //� ii Aks <br /> COMPANY ,, O /(/ v O () (� / y! <br /> (S GNATU 1/ REGISTERED Y / N FEE CURREI, Y / N <br /> Address License# I CPC— 0505--17? �� y y!6 • <br /> ELECTRICIAN <br /> Nr� n r X I <br /> COMPANY 1 <br /> SIONATUSE� �' ( 4 D - 1 Y/ I FEE CURREA 1 Y/ N (/ <br /> `, R FnICTFRC - <br /> Address t) <br /> License # <br /> L / r ir��9L - '.i�N�� ) <br /> PLUMBER i• 7/ L ( It 0 - <br /> :/ COMPANY / - f'/�� / / <br /> SIGNATURE O <br /> REGISTERED I Y/ N I FEE MARE!, 1 Y / N I <br /> Address License # C P6 — p.5�i / 73 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE cuRREt. 1 Y/ N I <br /> Address License# I I <br /> OTHER COMPANY <br /> SIGNATURE • REGISTERED I Y/ N 1 FEE CURREI I Y/ N I <br /> Address I 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, Storrnwater 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 ansite, 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/Survey/Footapo) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />