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""'-�"v-"""' �..i�y �i c.CNi ryi�inia 1'"Cl l l lll/'1FJ�.JIIl:clliUll r-ati-o io-iov-wc i <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> C' 's Name /""V �tJ"'I�C�lS Owner Phone Number <br /> Owner's Address H l Owner Phone Number <br /> Eee Simple Titieholder Name � � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS J`0 fIlL� LOT# � <br /> SUBDIVISION r PARCEL ID# - Q- - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALLS7R� REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK - '�. `�c(ST J�(G I�RTI�S I�T�G (./f�I� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT 1-[,prJ <br /> �UILDING $ � i - VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ _ ; j ) '�7��.� � �a"y`-S <br /> � <br /> ;. . <br /> � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �.�-�YU_��� �1 ' <br /> ,�,� {J�t�,�,�5 �#13�� <br /> OGAS Q ROOFING Q SPECIALTY �] OTHER `--� p��'1� <br /> � 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �• <br /> a <br /> BUILDER ���j � COMPANY � <br /> SIGNATURE REGISTERED � Y J N FEE CURRE� Y/N <br /> Address Jr G U OKT �Vf7. Q/� License# 3 <br /> SI��f��:l� _ _¢�T,� <br /> �:�:< � ' COMPANY �!V ( � b <br /> �� ��� REGISTERED Y/ N FEE CURRE� Y/N �l;� <br /> Address� / \O�i ' 3 License# 7 <br /> s; K�� �-�'k I�Gu �xG �'Cl� <br /> �° `�� r/-i��� � COMPANY <br /> �� REGISTERED Y/ N FEE CURREA Y/N <br /> ` 4'yS <br /> Address � � RtiVE 17. C. �y7S�. License# <br />�� ��6ME HC ANICAL ,~�.�� 41��L�`�,�r��, � COMPANY TL�C�'S � G <br /> C 'TURE �`f REGISTERED Y/ N FEE CURRE� Y/N <br /> Address f�14 FC- 3 ��d License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """"PROPERTY SURVEY requfred for all NEW construcUon. <br /> . tions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A!C upgrades over ST500) <br /> •" Agent(for the contractor)or Power of Attorney(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />