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813 - 780 -UU2U uity of Leprlyrt1111S rearm Application) p., 11382, rdx- ola- iou -uut1 <br /> Building Department f' <br /> Date Received - -�) �Z `� d <br /> Phone Contact for Permittin : _ L � :� �j / <br /> Owner's Name �) . (N 1 f 6(, j�- 0 j / k Owner Phone Number 50 - tS `Z s_ <br /> Owner's Address lo7 n )1 6) ) Q C c s Owner Phone Number <br /> Fee Simple Titleholder Name . I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V/134 l 61 I V er s b t- LOT # I <br /> SUBDIVISION ) ) V r r 04: 1 - K - -.S , PARCEL ID# 0 3 -- Q1/ `c) ) "O) ( 1 : 4 ! . ) - . : : : 5 e . . . ‘ 6 ' 0 ,(.3a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 ( SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR F COMM ( ( OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK Q FRAME NM STEEL n I <br /> DESCRIPTION OF WORK (z 4 `,-„!� J 0 C) 1 : >r{ 2) �s (1 - , --e �G)(^ , ) 2'e-- <br /> BUILDING SIZE SQ FOOTAGE 1 HEIGHT <br /> rEfOILDING $ 7 -2.-) 6 VALUATION OF TOTAL CONSTRUCTION <br /> ( ELECTRICAL $ AMP SERVICE I ( PROGRESS ENERGY n W.R.E.C. <br /> (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( - ( GAS [( ROOFING (l SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( NO <br /> W <br /> BUILDER �� - = '� \`�� COMPANY I9 » L :' f, r 'j r,rY2. e q . � -I� - <br /> SIGNATU c ei&_,,� . ✓ /% fi t `! ` REGISTERED J Y / N I FEE CURREN I Y / N I <br /> Address lb tx) ', )r_ ` 4w--`2-- 1 ;r il/39 License # I (, 6 / /)3/ ti � <br /> ' `� 1 <br /> ELECTRICIAN COMPANY / <br /> SIGNATURE REGISTERED ( Y/ N j FEE CURREN I Y/ N I <br /> Address I 1 License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I . <br /> Address I I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N <br /> Address I 1 License # I I . <br /> OTHER COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 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 />