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���'.. 'JVGII ' •1 .I �t7X"� , <br /> �,„�. - - ...... .. ,...�� . .S ' "__.���._.�._...�.,�._�'""����. <br /> F��,.W,F��:s,�''1.�"� { � PIIOi - . _° , <br /> >,Z �.;:Z'A.. '�".1�l�"' .1,��, , . � s. _ , �'n �. _ • "r°Y:X�LS.'t��'�i.L"1"��l.:8`i':�?`��.�. � ". <br /> , . - , L <br /> �. <br /> ,��,,k.�er'� � ' l�_.. ., C I'tc✓� . �;�Jmber �`��U A �� � <br /> C,�.. �._ � � , . .� <br /> . , <br /> �.__ __ .__ .� ___.....�__ . <br /> �.__� � <br /> ..._ ._ __. _ .___-__. , ( �.._._� <br /> u �n .;� , � _. __ .. .n__._..y ' � �:.�r��:wz}:�Numt�ar i J�___ _.... _ _ ___� <br /> Fee�imple Tit 9der hianie _.___._ �.___.--___ ,—t .•,�'ner Phonrt�'�d�Pvb�s �_�.. ..�____.._ . _._—g <br /> �_. _ <br /> _.. ._......_..__.� ._._._...._�__»�._�...r.___'_....._. _.__..._.., ... .. _ _._..� . .. .. .. ,....,R <br /> Fee Simple Titl�Ide�Addres�^ � � _._._`.�__ , . ._. _. �- --__. ..._.__._.. ' <br /> �. . �. <br /> JOB ADDRESS �a !v �—' S � -- �"�I I s � / . �-�u� � � - � I <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR� ADDlALT Q SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � ��� ��r!✓ w � `tC / � � x �°� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ ] �� VALUATION OF TOTAL CONSTRUCTION <br /> ( <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO <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 REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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 Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facflities 8�1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pem►it for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facflitles&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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over E2S00,a Notice of Commencement is required. (A/C upgrades over:7500) <br /> *• Agent(for the conUactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIMG (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrad�s A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROVN <br />