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813-78U-UO2U c;ity ot �epnyrnins rermit Hppucauon rdx-oi�-�ou-uvc� <br /> _ Building Department <br /> Date Recelved ��-- � phone Contact for Permittln -- <br /> Owner's Name � �, Owner Phone Number �" � p � V <br /> Owner's Address J 1 Owner Phone Numbe� <br /> Fee Simpie Titleholder Name Owner Phone Number �- <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS dp�'�'"� 'C �'`1 �� LOT # � <br /> SUBDIVISION � PARCEL ID# �S 'D+� 1� O `7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SI2E SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ✓, � I I �,(.� <br /> �i � `"� r <br /> (�qAECHANICAL $ � �� ' o VALUATION OF MECHANICAL INSTALLATION � � � Z <br /> i' <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER _. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ 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 �� �LLS �/1 � � <br /> SIGNATURE _ REGisTe�o Y/ N FEE CURRE� Y/ , <br /> Address Ucense # C. <br /> OTHER � � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� 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) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facillties 8 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans ptus 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 construcUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8� Confractor sign back of appiicatlon, notarized <br /> If over s2500, 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 A/C Fences (PlobSurvey/Footage) <br /> Driveways-Not ove� Counter if on public roadways..needs ROW <br />