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O IJ'/OV'UVLV v��Y vi L.cN� �y� � iin� i vi �� n► �NNii......�...� �,�„ l� e� <br /> , , Build(ng Department � � ?j �� <br /> �'���:�,►.)/C � <br /> Date Recelved � i �� �' 3 �,{�l' <br /> Phone Contact for Permittin �- � <br /> Owner'a Name �f.�' � Owner Phone Number �"/3 � 7'8'3 " 3 �1$ <br /> Owner's Address � � C:� � Owner Phone Number �T _ � <br /> Fee Sfmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS � / � 'Z'� V� �n �V � � �� s Ft- 3 3-sy � LOT # � <br /> SUBDIVISION Z.G K2J,1� -S PARCEL ID# .L'Z� "Zf ' �O �Q ' D� � OO � �� `� D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN C] MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PRm'POSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � � f l I L� t STD� �fi��- FPNC�.-° G�f�iS l. <br /> BUILDING 312E �� 3Q FOOTAGE T HElGHT <br /> Q BUILDING $ ���. O VALUATtON OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL � � AMP SERVICE -, 0 PROGRESS ENERGY Q W.f2.E.C. <br /> 0 PLUMBING � <br /> � MECHAN�CAL � � VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> -2�9- S o���A <br /> e- ev aYU� � <br /> BUILDER �� �,/ COMPANY +G � <br /> SIGNATURE ' Y "✓ v"� REGISTERED N FEE CURRENT Y/ N <br /> Address C7 c'� x b 3 ��l I-rL ' 3Z$�g License # C«��'E"1 � <br /> ELECTFtIC1AN COMPANY <br /> SiGNA7URE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ FEE CURRENT Y I 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 construcdon, <br /> Mtnimum ten (10) working days after submittal date. Required onsite, Constnactlon Plans, Stormwater Plans w/ Sllt Fence installed, <br /> Sanit�ry Facilitles & 1 dumpstc:r; Site Work Permit for subdivisions/large pro)ects <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit�for new construcUon. <br /> Minimum ten (10) woricing days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence lnstalled, <br /> Sanitary Facilities 8 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 construcNon. <br /> Directions: � <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appltcatlon, notarized <br /> If over:2500, a Notice of Commencement is required. (A/C upgrades over a5000) <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 PERMI7TING (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 />