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813 - 780 -0020 City or Lepllyrf hllS rei iiiil HNNii - ""' <br /> • Building Department 4 it 3g 6 <br /> Date Received Phone Contact for Permitting <br /> Co �, / c Owner Phone Number <br /> Owner's Name p �1 (� �� 2 I <br /> c� 25t Owner Phone Number I <br /> Owner's Address I I <br /> Owner Phone Number <br /> Fee Simple Titleholder Namel <br /> Fee Simple Titleholder Address I ( i l,j ,,r `i° Y I <br /> c 6 lJ &e0 ( LOT # I O'v <br /> JOB ADDRESS i I <br /> e2-y— e2-y— a..6 a1 / - d O U &W O - - 0 0 y 0 <br /> SUBDIVISION I �� / � D I PARC ID #I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED VAS <br /> NEW CONSTR I I ADD /ALT 1 I SIGN 1 I MOVE I I DEMOLISH <br /> = INSTALL REPAIR <br /> PROPOSED USE ( I SFR I I- COMM 1 I OTHER 1 <br /> FRAME I I STEEL I ( OTHER I I <br /> TYPE OF CONSTRUCTION I I BLO ff C � K ����� �j 1 ��e,�o I <br /> DESCRIPTION OF WORK I /��"""" ' r " ���� %""�` <br /> 67--0 X . / I SQ FOOTAGE I 7 Vd 4 I HEIGHT I <br /> BU ILDING SIZE I I <br /> E1 BUILDING I 0-V /) , 2 336 . Gd VALUATION OF TOTAL CONSTRUCTION <br /> PROGRESS ENERGY 1 1 W.R.E.C. <br /> ` =I ELECTRICAL 1$ /, 000.e° I AMP SERVICE "�� <br /> I I PLUMBING I$ L:' 4I <br /> I 1 MECHANICAL I$ <br /> VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I <br /> I FLOOD ZONE AREA 1 IVES 1 INC) N <br /> License # <br /> � COMPANY II‘`.1-6-1-- I‘`.1-6-1-- V Kam- iry"c� -41:// OA- . to <br /> BUILDER ���'4'V REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> SIGNATURE n / � I <br /> lS/ / 6/ x4' , - Z if ,cf 'I .� <br /> Address I : rn0 >���'_y11 �-- <br /> ' ` - COMPANY <br /> ELECTRICIAN � J REGISTERED L Y / N I FEE CURRENT 1 Y/ N I <br /> SIGNATURE � � f` <br /> ! • 0. 4 0 X- /S3 7 Z - t.11� r l' I L icense # <br /> Address I <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N <br /> Address 1 <br /> L icense # I <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT I Y / N I <br /> Address I <br /> Lic ense # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT Y/ N <br /> Address I License # 1 <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 $5000) <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 Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />