Laserfiche WebLink
ts�i�-itsu-w�u l.ity ui LCNi iyi i nna rci i i ni nNNn�,auv�� • -•• - - -- --- <br /> Bullding Departnent <br /> � rn L"v 3��.A <br /> Dats Received Phone ontact for Permittin �/ 3 2 6 t _ 9 g 6 SJ <br /> Owner's Nama /�2Y d.-+�A S Owner Phone Number �i 3 � 'T l�2� 2 Z 30 <br /> Owners Address ��0 2 8 �l Owner Phone Number �— � <br /> Fse 8lmple Titleholdar Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB AQDRESS 5�32 L� �'�ll.�5'-� GT .� fi i )I S F(.. 3 'f S�F 2 LOT# � �' <br /> 8UBQlVISION St�.n�S:z'� �S"rA-`I^-�.S PARCEL ID# �� `�'�' �Z I' O�I C1 C')Oi�u�� - �g(cs�'j <br /> (OBTAINED FROM PROPERTY TAX N0TI6E) <br /> WORK:PROAOSED NEW CONSTR ADD/AL7 [� SIGN Q Q DEMOLISH <br /> INS7ALL 8 I�EPAiR <br /> PRORO.SED.USE Q SFR � COMM � OTHER <br /> TYPE OF CON87RUCTIDN Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I��C� I U + 'T'� .s� � S��-t. /`G I��y� � 2 <br /> BUILDIN(i SIZE 8Q FOOTA(iE� HEI(iH7 <br /> QBUILDING a 1�,3 ,e, VALUATION OF TOTAL CONSTRUCTION <br /> iC. <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a • � (��1� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALUTION <br /> � ( <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> �. C�t-�.� �—�-t= <br /> /� <br /> BUILDER � COMPANY L Oc�-eS Noro�, CeaT�2s `n/�- <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> aadre� o �o� � Q'3 ��`A�d�' ��-$�� License# C,�G [ SO ��-l7 <br /> ELECTRICWN COMPANY <br /> SIdNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa License# � <br /> PLUMBER COMPANY <br /> SIONATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SICiNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# l � <br /> OTHER COMPANY <br /> SIONATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu(Iding Plans;(1)set of Energy Forms;R-O-W Permit for new construcdon, <br /> Minlmum ten(10)v�ro►icing days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Slte'Nork Permlt for subdivislonsJlarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Llfe Safety Page;(1)sst of Energy Fortns.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constn�ction Plans,St�rmwater Plans w/Sllt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SICiN PERMIT Attach(2)sets of Engineered Plana. <br /> ""'PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicatlon compietely. <br /> Owner&Contractor sign back of application,notarized <br /> tf over s2500,a Notice of Commencement is required. (A/C upgrades over i7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would be som�ne with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubflc roadways..needs ROW <br />