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a�saso-oo2o C;Ity or Lepnyrnnis re���n� �NN���a����� <br /> Building Department <br /> Date Received • �Z -'� � <br /> Phone Contact for Permitting 0�" �� ��� <br /> � � � �+ Owner Phone Number <br /> Owner's Name <br /> � 7:) D � Owner Phone Number <br /> Owner's Address "'� <br /> Owner Phone Nurriber <br /> Fee Simple Titlehoider Name <br /> Fee Simple Titleholder Address -��-----� <br /> � 7 � �` ^ ,.� r' ` J LOT # <br /> JOB ADDRESS �r�'�"� �t <br /> (� � � PARCEL ID# a � � � �� _ �d/��— vd y <br /> SUS�IVISION (�{TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � <br /> SIGN 0 MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME 0 STEEL Q OTHER <br /> /Q J J /' C�d/►� �- 0 ��' <br /> DESCRIPTION OF WORK � � �"" <br /> BUILDING SIZE ��/�" SQ FOOTAGE S� T HEIGHT <br /> 0 BUILDING $�� �O� , 8'"c1 VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY [� W.R.E.C. <br /> . � QO . d U �ASCO PERMIT SERVICE <br /> PLUMBING $ (81$� 7$8-��4 <br /> � '�AX 1-866-8247894 <br /> � MECHANICAL I�$ — VALUATION OF MECHANICAL INS7ALLATION �� ���q <br /> I � I <br /> � GAS Q ROOFING � SPECIALN 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ONO <br /> OMPANY V <br /> S G ��� � - '' '� � REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address tr��u !"'U� � � License # <br /> ELECTRICIAN `'� �+ `CO�P'4NY <br /> SIGNATURE OW N� REGISTERED Y/ N FEE CURRENT Y! N <br /> � 7 �' ' Z f ' License # <br /> Address <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address 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) worl<ing days after submittal date. Required onsife, 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/ Siit Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Worl< 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 /> �VER THE COUNTER PERMITfING (Front of Application Only) <br /> Reroofs Sewers Service.Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />