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� _ —__ ...' ' _. ...�'...��...... _. ' ' "'"_ <br /> Building Department <br /> Date Received phone Contact for PermitNn <br /> Owner's Name t m"M�� !►'ll�\ ` Owner Phone Number <br /> Owners Address � J�(«/ e"(� ��Owner Phone Number -� <br /> Fee Simple Titleholder Name � �� N ��Z Own�one Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 2- }Q / � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY 1AX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/AlT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK \ � ( L <br /> BUIIDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREh Y/N <br /> Address ' License# <br /> ELECTRICIAN �� COMPANY �C� ' lC_ <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address (9� c �P$ (G(,)C�_ License# V`' ����S� <br /> PLUIIABER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> MECHANICAL COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISIERED Y( N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sels of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consiruction, <br /> Minlmum ten(10)working days aRer submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllGes 8 1 dumpster,Sita Woiic Permit for subdlvisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwafer Plans wl Silt Fence inslalled, <br /> Sanitary Fadlides 8 1 dumpster Site Work Pertn(t for all new praJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construc0an. <br /> Directions: <br /> Fill out applicatfon completely <br /> Owner 8�Contrador sign back of app�icatlon,notarized <br /> If over;2500,a Notice of Commancement la required. (A!C upgradea over i7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wfth 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 /> DrivewayrNot over Counter if on public raadways..needs ROW <br />