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��.�-/tSl�-VUYU lrll�/ VI �cN��yi�nno � a.�����a. .�..�..�............ <br /> Building Department <br /> Date Received Phone Contact for Permittin �c� -- �- <br /> Owner's Name �° 0 Owner Phone Number <br /> �� t� p��a l�1(br,d�� v i'1 I��' ��='�7 <br /> Owner's Address `� Owner Phone Number C -� <br /> Fee Simple Titleholder Name Owner Phone Number[ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ����U U� ��' � 1 �Z ���-� � � LOT# � <br /> SUBDIVISION PARCEL ID# '`�(�' �r•��• C�-=t�•up���f� '��al h <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � �N n MOVE Q DEMOUSH <br /> INSTALL REPAIR �.� � <br /> PROPOSED USE � SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � � �QO� ��� ���� ��� �� C� , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ �^ � VALUATION OF TOTAL CONSTRUCTION <br /> ��L� � <br /> 0 ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ �� / <br /> � � G/ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> Q GAS � ROOFING 0 SPECIALTY Q OTHER `�� <br /> \V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO <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 License# <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 (�(]"� �C <br /> SIGNATURE' _ REGISTER�D Y/ N FEE CURRENT Y/N <br /> Address �� .j"'� 3 �- License# (�-/:3 Z.S�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building 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 Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)sets ofBuilding Plans;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"'*PROPERTY SURVEY required for all NEW construction. <br /> nr������r n r������.�� � . . <br /> Direct�ons. <br /> �++���J IiLL1L1 1 <br /> Fill out application compietely. � <br /> Owner 8 Contractor sign back of application,nota�ized <br /> If over a2500,a Notice of Commencement is required. (A/C upgrades over a5000) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />