Laserfiche WebLink
813- 780 -OUZO } ---1 j i, 61) city or Lepnyrniiis I-'ermit /Application rdx- o..rrou -vuc, <br /> 1 dir <br /> . Al., Bu ilding Department <br /> 1 10 <br /> , <br /> Date Received ��� —' <br /> /3 C�� I <br /> •I+1 v Phone Contact for Permitting I( (�� �3 ) � _ G y I <br /> Owner's Name /� ■■IIIr _... Yf - - Owner Phone Number 1 3/0 6 7(.1 - JS V <br /> Owner's Addres I L3 1 ' ,ST 4 "F4 Owner Phone Number Fee Simple Titleholder Name . ( a I Owner Phone Number I / 2 6 s L/ r - ✓/j t _s <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7�)" >'- - - .-- 01 / � / esg- -7 'Q"r!Z LOT # <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR r , ADD /ALT I I SIGN r] I� DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE n SFR n COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME MIN STEEL n / I <br /> DESCRIPTION OF WORK I Z2 � ?7 z_ /,56 G/�,T � 'r <br /> { <br /> BUILDING SIZE I I SQ FOOTAGE' ,°2C6- I HEIGHT I <br /> I !BUILDING I$ I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL I$ Ca" I AMP SERVICE /so Y n PROGRESS ENERGY W.R.E.C. <br /> pi PLUMBING $ . <br /> n MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION <br /> / I <br /> n GAS n ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA nYES • <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I Al License # I <br /> ELECTRICIAN ', COMPANY ,o/ cif d G Z c z- 772, L <br /> SIGNATURE 9/ - /SiG / ex-04 IN J FEE CURREl � /)N I <br /> Address 267d /, , ,G ' ' 0 4 I <br /> License # <br /> PLUMBER 1 COMPANY I <br /> SIGNATURE REGISTERED Y / N FE CU <br /> I I RRen 1 Y/ N I <br /> Address <br /> 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGISTERED Y / N FE <br /> I I CURREt` I Y/ N I <br /> Address I License # I <br /> OTHER I <br /> 1 COMPANY I <br /> SIGNATURE REGISTERED FEE <br /> I I Y / N I cuRREn I Y/ N I <br /> Address I License # I 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 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 (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 Attomey (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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />