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Buflding DepaRment <br /> Date Received Phone Contact for Permitting �I -- <br /> � � � � � � i � / - -- rr <br /> Owner's Name V f� /� Owner Phone Number <br /> Owner's Address ssr � �� wll W � (0�Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O V � G y /L I/( LOT# � <br /> SUBDIVISION PARCELID# �5�����40���� OQ-� Vy3� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FR.4ME � STEEL � <br /> DESCRIPTION OF WORK ll�I O� , I ' V T (p ) S,)�p <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION 8 ����U <br /> �ELECTRICAL g AMP SERVICE � PROGRESS ENERGY � W R.E.C. <br /> �PIUMBiNG $ <br /> �MECHANICAL g VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER, '" COMPANY• �. � I�. �l �4f`.� DLt J�,�r "�� <br /> SIGNATURE �"� � � ��, REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 <br /> License# <br /> 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 I 1 1 1 1 1 <br /> RESIDENTIAL 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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence mstalled, <br /> Sanitary Facilities&t dumpster.Site Work Permit for all new pro�ects All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> D�rections:• <br /> Fdt out appbwtion completely <br /> Owner&Contractor sign back of application,notanzed <br /> If over$2500,a No[ice of Commencement is required. (A!C upgrades over$7500) <br /> " Agent(for[he conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs rf shmgles Sewers Sernce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubhc roadways..needs ROW <br />