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- ' . _r r____"'_" _ ' _' "_ <br /> Building Department <br /> Qate Received <br /> Phone Contact for Permittin <br /> Owner's Name <br /> � Owner Phone Number <br /> ONrner's Address .� ,j� ' r ��s .�/ <br /> Owt�er Phone Number <br /> Fee Simple Titlehoider Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .. 9 - s � <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM pROPERTY T��NOTicE)DEMOLISH <br /> WORK PROPOSED B NEW CoNS7R B ADD/ALT �_] SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �] COMM �� OTHER <br /> T1fPE OF CONSTRUCTIOM [� BLOCK Q FRAME [�� STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDIN(i SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE PROGRESS ENERGY <br /> e B� 0 Q W.R.E.C. <br /> OPLUMBING $ <br /> S�� �-�C ( �`f�P^^ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ' ,���� <br /> [�]GAS Q ROOFING Q SPECIALTY C] OTHER � �3 �1`� " <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> sUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> ELECTRICIAN COMPANY � j <br /> SIGMATURE REGISTERED N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUINBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> INIECHANICAL 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 Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mlnlmum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles�1 dumpster,Site Work Permit for subdivisionsllarge proJects <br /> COMMERCIAL Attach(3)complete aets of Bufiding Pians plus a Life Satety Page;(1)set of Energy Fo�ms.R-O-W Permit Sor 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 commerc(al requirements must meet compliance <br /> SIGIN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requfred. (AIC upgrades over E7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone 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(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />