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..... ..... ........ v�.� ..� ._..r...��....... . �.....-• •rr••-�-'-" <br /> Building Department <br /> Date RecNved �� Phone Gontact for Permittin 2� <br /> Owners Name s,�'R�� Owner Phone Number � ?- - �7 <br /> Ownera Address 5Z S I � S% Ovmer Phone Number _ <br /> Fee 8imple Titleholdsr Name � � Owner Phons Number <br /> Fee Simple 7itleholder Address <br /> JOB A�DRESS S ^T 5 �.- SI 2-2PI�R r�i I 5 (... 3 S � LOT# + ! +- �t <br /> 3UBQNISION C`fir e 2 ��+2vini I.�� PARCEL ID# - � _ „ "� <br /> (OBTAINED FROM PROPERTY TAX N0TI6E) <br /> WORK PROAOSfD e NEW CONSTR 8 ADD/ALT �� SIGN CJ Q DEMOUSH <br /> INSTALL REPAIR <br /> PROR0.8ED.USE_ Q SFR Q COMM � OTHER <br /> TYPE OF CON8tRUCT10N Q BLOCK Q FRAME � STEEL Q (-- �1 <br /> DESCRIP�ION OF WORK K l� � 2 � -'�- .$�2+c- S.z � f L`i`t 0 <br /> l�l. //tr� b <br /> BUIL�IN(i SIZE SQ FOOTA(3EC� HEI(iH7 �–� <br /> QBUILDING $ Z��2r QG VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL ($ —� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �—_ <br /> QPLUMBING S ��� 1 7 <br /> QMECHANICAL S <br /> VALUATION OF MECHANICAL INSTALLATION � <br /> [�GAS Q ROOFING Q SPECIALTY [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G ��-� 1`'� <br /> � <br /> � - <br /> BUILDER COMPANY �ow-�S NoMt �eaT�2s �n!� <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address O �O� O �� a�'`��d`� ��"$�� License# C.�o�. � ..s d �3 t7�`!� <br /> ELECTRIC WN COMPANY <br /> 316NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> PLUMBER COMPANY <br /> 31(iNA?URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross License# r <br /> MECHANICAL COMPANY <br /> SIQ�NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross License# I <br /> OTHER COMPANY <br /> SIONATURE REOISTEREp Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> MlNmum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans wl Silt Fence insblled, <br /> Sanitary FadllUes 8 1 dumpster,Site Work Permit for subdivislons/large projects <br /> COMMERCIAL A!tach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-Vd Pemrit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SICiN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over�500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized tetter from owner authorizing same <br /> OVER THE COUNTER PHRMITTIN(i (Front of Application Only} <br /> Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivevrays-Not over Counter if on public roadways..needs ROW <br />