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- • , .----._.. <br /> Building Department --- <br /> Da`�:R�c�'ived <br /> Phone Contact for Permittin <br /> Owner's Name <br /> Owner Phone Number �f <br /> Orvner's Address � � � <br /> J Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � <br /> LOT# <br /> SUBDIV1510N PARCEL ID# <br /> e (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MlORK PROPOSED NEW CONSTR 8 ADD/ALT �� SIGN <br /> INSTALL REPAIR � O DEMOLISH <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL �] <br /> DE�CRIPTION OF WORK <br /> BUILDING 51ZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ' !�Q AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ '��1 <br /> r �j�,� �/ <br /> � / ✓ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> sUILDER COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � rl <br /> ELECTRICIAN COMPANY L <br /> SIGIVATURE REGISTERED N F RRE� Y/N <br /> Address License# �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IM�CHANICAL 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 /> RE5IDENTIAL 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilfties 81 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus 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 8 1 dumpster.Site Work Pe�mit 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 construcdon. <br /> Directions: <br /> Fill out appiication completely. <br /> Owner&Co�tractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. {A/C upgrades over 57500) <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 if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />