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�51.,�-/tSU-ultN �Ity v� Lc���]i�niw � .,,.�.�.. .p.r......,....... <br /> Building Department <br /> Date Received Phone Contact for Permittin � -- `-��� <br /> Owner's Name (`(-1C�� Owner Phone Number � ' � � <br /> `^' � _ Owner Phone Number <br /> Owner's Address 'C <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �C�IL + �V 1 �� • LOT# �--� <br /> SUBDIVISION � C`� PARCEL ID# � � ' ���'�l'� <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIG MOVE [� DEMOLISH <br /> INSTALL B REPAIR � � � <br /> . <br /> PROPOSED USE SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � ��� � ' � � � � �� � � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � � � � � � � � � <br />� BUILDING $ �� i VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.G. <br /> Q PLUMBING $ � <br /> _,� 1 ��� - <br /> Q MECHANICAL $ VALUATI�N�F MECHANICAL INSTALLATION <br /> � GAS Q ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA . QYES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � Lfcense# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address ' License# � <br /> OTHER COMPANY L� I �� '`� <br /> SIGNATURE %� REGISTER�D Y/ N FEE CURRENT ' /N <br /> Address �C� ��'I License# ��/�3 Z-S�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildi�g 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 instatled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new consVuction. <br /> Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Woric Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*'PROPERTY SURVEY required for all NEW construction. <br /> Directions: , <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over#2500,a Notice of Commencement is required. (A/C upgrades over b5000) <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 PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />