Laserfiche WebLink
o�o-�o�-���� v��y �� ��N��y���n�� � �������.,rr��.,�..�„�� <br /> Building Department <br /> �0 rJ iC fl <br /> Date Received ��-2 �-�y Phone Contact for Permittin cD .3 z6� ��� <br /> Owner's Name �►P+2 2 S ��Z �� �-l�c� Qwner Phone Number ' 3 -7�b � i�67 <br /> Owner's Address �03 �f� Sc �ve� ta.4l�S �2 Owner Phone Number ,,_, - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titiehoidar Address <br /> JOB ADDRESS �Zd ��I V e2�3RI.S o� � ePti����IS r�- � 3 S�Z LOT# �� <br /> SUBDIVISION S' ��e,�. �q�c.S PARCELID# d� "�6-2�-(izR - ae',e��� - p r-7d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPdSED B NEW CONSTR e ADD/ALT Q SIGN [� MOVE �] DEMOLISH <br /> INSTALL REPAIR <br /> PRdPOSED U3E [� SFR (� COMM [] OTHER � c��r <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRtPTION OF WORK �eP�AGC / �0 N�` �c�• 2 (� !� S� �/S� z{� f C SL(o Z,3� � <br /> BUILDING SIZE 3Q FOOTACiE HEIGHT <br /> Q BUILDING $ ��/ �j �j� VALUATION OF TOTAL CONSTRUCTION <br /> b <br /> 0 ELECTRICAL � � AMP SERVICE � , Q PROGRESS ENERGY Q W.R.E.C. <br /> � �vj� Z�1 <br /> 0 PLUMBING $ � � <br /> �] MECHANICAL I�$ VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> -269- N�c�.q <br /> e. e.v Z� <br /> BUILDER � COMPANY �1'� <br /> SIGNA7URE REGISTERED N FEE CURRENT Y/N <br /> Address C� C'>x S 3 DIZ! � -Y 3�$7a License# C��vz�'Tl� <br /> ELECTRICIAN 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# <br /> MECHANICAL COMPANY <br /> SIGNAT'URE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Per►nit for new constructlon, <br /> Minimum ten(10)working days after subm(ttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster,Site Work Permit for subdlvisionsAarge proJects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Pe�:nft`for new construction. <br /> Miniir�um ten�10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/3tlt Fence Installed, <br /> Sanitary Facilitles& 1 dumpster.Site Work Permit for all new pro)ects.All commerclal requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"*PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor stgn back of applicatlon,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 PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />