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ti1J-/tfu-uuGv l�lly v� Lc����r��n��., � v���.�., .�..r......,...,... _, . <br /> �� i'.:�'.....,-. <br /> Building Department ` <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name �1 1�� E � ( Owner Phone Number <br /> , <br /> Owner's Address Y. p. � Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �p�) l��L�-vl� lcC� ��� �'� • ���'1 � � LOT# �� <br /> SUBDIVISION PARCEL ID# �-C�10•�,I� ��� • f�` '��(l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � S�GN Q MOVE [� DEMOUSH <br /> INSTALL REPAIR f <br /> PROPOSED USE Q SFR � COMM Q OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �'`�'f��G11 {'1�(1CUl,X��C�(\ (Y�� �'lt�,`��l n v �u--j�aS1c� -� <br /> V <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> � BUILDING � , VALUATION OF TOTAL CONSTRUCTION <br /> �.-IS t�o . <br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> �v <br /> � GAS Q ROOFING 0 SPECIALTY Q OTHER �, � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO �� <br /> BUILDER COMPANY <br /> SIGNATURE (1 L�l(} �- REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 3 License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# r- <br /> PWMBER 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 <br /> SIGNATURE REGISTER�D Y/ N FEE CURRENT Y/N <br /> Address License# 1.��—/�3 Z.S�L� <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 Plans w/Silt Fence installed, <br /> Sanitary FaciliBes 8�1 dumpster;Site Work Pennit for subdivlsions/large projects <br /> COMMERCIAL Attach(3)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 Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"'PROPERTY SURVEY required for all NEW construction. <br /> Dtrections: <br /> Fill out apptication completely. � <br /> Owner&Contractor sign back of application,notarized <br /> (f over�2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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 />