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Building Depa,.,., . <br /> Date Received 1p - t�'Z � � <br /> Phone Contact for Per .dttln ! p <br /> s <br /> 4. Owner's Name j On ll t S _q---1 .Qv r ` / I- • v I c i e vi . y Owner Phone Number s <br /> 3- - g8 37 <br /> O wners Address ^ 5 ! 1 [ �a ' �' ( a Uk— j 1 Owner Phone Number I <br /> Fee Simple Titleholder Namel _ Owner Phone Number I , <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS SO■ WI LOT # <br /> SUBDIVISION 1 PARCEL ID #I IO a - AI -cock) _ ._ 20 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR - ADD /ALT �] SIGN n MOVE 1 DEMOLISH <br /> INSTALL REPAIR R ,0_ - tt <br /> PROPOSED USE I SFR I 1 COMM I OTHER I <br /> TYPE OF CONSTRUCTION 110 BLOCK I I FRAME 1 1 STEEL I I OTHER I <br /> J <br /> 1 5 ' `s <br /> DESCRIPTION OF WORK I (X3 � � t n )� "� Oc�1ZS co►�✓1 1 r23 �-- <br /> BUILDING SIZE I SQ FOOTAGE 1 a3`1 HEIGHT I <br /> BUILDING $ . VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ r AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS JT ROOFING 1 I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I !YES 1 ----- i NO <br /> • <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED l Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 License # I <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED I. Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 License # I <br /> MECHANICAL COMPANY 1 . <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> • <br /> Address i 1 License # I <br /> OTHE .. -1 C OMPANY I ll� T I(�( 1�i 4 �� <br /> SIGNATURE �/ � f REGISTERED I Y/ N FEE CURRE I Y / N ( <br /> Address GC-413 c J f �! 1 kJ, , lb License # I(ICCC. ( 35 S <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) 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 Fadlities & 1 dumpster. Site Work Permit for all new projects. All commerdal 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 $5000) <br /> " Agent (for the contractor) or Power of Attorney (for the owner) would be som( nne with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />