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..... .........�.. .. .� ..� ..�..p...��....... . �....... •rr••-�_._.. <br /> � Buiidi�g Department <br /> -, e�- � � p <br /> Date Received � � !� Phone Contact for Permittin �i 3 � _ ��' (�� <br /> Owner's Name w A (T�, �o �f,'v Owner Phone Number �o� 7 - 1 �`l -S'1 S� <br /> Owne�'s Address 3�� ��' L�n;5�+v_,� R� Owner Phone Number � � � <br /> Fse 8imple Titleholder Name Owner Phons Number �- <br /> Fee Simple Titleholder Addreas <br /> JOB qpDR�SS 3�E='.�� Lf1n�i ni, :4 V-Z ZE,�ah2Y h i 1 J S r' �- 3 3 5`1� LOT# � '-!O <br /> SUBQNISION ����y �b�(c�J PARCEL ID# t>�-�(�-�1• p 16U - � � y p a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK:PROPOSED NEW CONS7R ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROF�O.SED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON8TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��'�/r3t e I S/��i„/t ;� �,.����° -i- j(�► w ;�J " �i` ,�// s.i�e. S.2�- <br /> �� Z�+�16 <br /> BUILDINQ 31ZE SQ FOOTA(3E�� r��°``4 HEI(3HT �� <br /> FL I�Lb/o <br /> QBUILDING $ • VALUATION OF TOTAL CONSTRUCTION <br /> 7. � <br /> QELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.C. <br /> OPLUMBING $ � ���7�v <br /> l <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> / G �,e.a �-'�-r' <br /> BUILDER COMF�NY (.bw-eS NoM�, ceN"'r�2s �n!C, <br /> SIGNATURE ' '��' REGISTERED Y/ N FEE CURRE� Y/N <br /> aaare� O �oK ' $ � � .�i ��'A�t�� 3z�s7�' Lfcense# �G�,G ( SO ��1 7 <br /> ELECTRICWN COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 810NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> MECHANICAL COMPANY <br /> SI(iNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address License# I -� <br /> OTHER � COMPANY <br /> SIaNATURE � REOISTERED Y! N FEE CURRE� Y/N <br /> Address Lfcense# � _� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildtng Plans;(1)set of Energy Forms;R-O-W Pertnit for new�nstrucdon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormw�rater Plans w/Sitt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Lif�Safety Page;(1)set of Energy Forms.R-O-W Pemtit for new consWctlon. <br /> Minimum ten(10)working days after submittal date. Required oncite,Constructfon Plans,Stormw�tar P1ans w!�':;!Fs�co:nsta!led, <br /> Sanite.ry FadliJsa 8 i dumpsier. Site Work Hermit for all new projects.All commercial requirements must meet compflance <br /> 3t(iN PERMIT Attach(2)sets of Engineered Plans. <br /> '•"'PROPERTY SURVEY required for all NEW construcGon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatfon,notarized <br /> H over s2500,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 PERMIITIN(i (Front of Applicatfon 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 />