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813-78o-uozu c;ity ot �epnyrnins rermit Hppucauon rdx-oi�-iou-�un <br /> Building Department <br /> Date Received .,,� � Phone Contact for Parmittin <br /> Owners Name (� Owner Phone Number �� " 1� - <br /> Owner's Address ��' � (�T'-� �?; Owner Phone Number �3 "� �5 "��Q � 3� <br /> Fee Simple Titleholder Name �— Owner Phone Number �� ` 1 �J"�--'Q <br /> Fee Simple Titleholder Address J" � �� — '� �, S �.- <br /> JOB ADDRESS � - c�. I� i S } �J �{' LOT # �� <br /> SUBDIVISION � , PARCEL ID# I'� C.7��' O� ���Ot tJ" Q� �� " OI �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �� �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL ($—� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �__ <br /> QPLUMBING $ /,� � � I�� <br /> � C �--__ <br /> ~ �MECHANICAL $ � I VALUATION OF MECHANICAL INSTALLATION , /� � � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> 1 � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # �— � <br /> MECHANICAL COMPANY �� Y� � 5 �') 3, C�Q �, <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address � l }- � License # � vt � � Q � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address L(cense # � � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of E�ergy Forms; R-0-W Permit for new construction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon 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 Worlc Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred for all NEW constructlon. <br /> � <br /> � aai�� � - n� rrr� ii �Y� � r� n � � � i � r�� � <br /> �++-��+�J-LiLl+l l liilil� I I IJ i <br /> Directions. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commeocement is required. (A!C upgrades over 57500) <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 AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> � Driveways-Not over Counter if on pubUc roadways..needs ROW <br />