Laserfiche WebLink
es•is-iau-uu�u tr��y vi �tsNiiyi�nna rciiiii�nNNn�.auv�� _.. - - -- --- <br /> Building Department <br /> ,r� , <br /> Dete Received — 9�� Phone CoMact for Permittin gl Ti Z�o q – 9��o� <br /> Owner's Name DR2�G�� E S Owner Phone Number <br /> Owner's Addresa Sp'�— Owner Phone Number <br /> Fse Simple Titlaholdsr Nams Owner Phone Numbsr � � <br /> Fee Simple Titlaholder Address <br /> JOB AQpRES3 � / � S`T ��R y �+c��1 S �L 3 3 S y �, LOT# �'`'� '�S <br /> sue�fvtsioN Z � M � � PARCEL ID# l 1 - 2 C ° 2�- O� i 0 - i 3 S o o -- o c� 3 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WQRiE PR�AO$ED e NEW CONS7R 8 ApD/ALT [� SIGN [� Q DEMOLISH <br /> INSTALL FrEPAIR <br /> PROR0,8ED.USE [� SFR � COMM � OTHER <br /> TYPE OF CON87RUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK !tE'.pf AC a1 / " sl Z•�e. Si Z-L.. rL �// 'S Z., � <br /> BUILDIN(3 SIZE r` � 8Q FOOTA(iE�� HEI(iHT �L ���Y �� <br /> OBUILDING $ 3 1 !�� Gf'7 VALUATIOn OF TOTAL CONSTRUCTI <br /> � y l�3 t nf(TO� � �o r�Ti2 r�,c'T"' <br /> (�c.r�-ti�,,v c> <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � /���� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G ��d �� <br /> BW�DER Y OMPANY� i.ow�S NoM�, c,eN��2s' 'nl C. <br /> 81GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �O 4� O Q�✓ ��A�t e�ra 3 i-S 78' License# 1 c.��o�. ( .S('� �t'�-� <br /> ELECTRICIAN COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> PLUMBER COMPANY <br /> 810NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � I <br /> MECHANICAL COMPANY <br /> SI(3NATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � <br /> OTH�R � COMPANY <br /> SI(iNA7URE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTtAL Attach(2)Plot Plana;(2)aets of Buliding Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)woricing days after submittal date. Requfred onsite,ConsVuctlon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary FadNUes 81 dumpster;Site Work Permit for subdivislons,1arge pro)scts <br /> COMMERCIAL Attadi(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertrtit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary FadHtles 81 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance <br /> 81CiN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*'PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fiil out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> lf ovar=2500,a Notice of Commancement is roquired. (AIC upgrades over sTS00) <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 P�RMITTING (Front of Applicatlon Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />