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tS1:S-/tSU-UULU r.;liy Of L�Pt1yi"111115 4-'effl'lIL/ip�IlCcICIOCt ��ax-u io-iiv-uut i <br /> Building Department <br /> � �' =(�t�+'� <br /> Date Received Phone Contact for Permittln - <br />✓�wner's Name �.J� �.�� Owner Phona Number 1�1��J A��� ` �`�-' <br />`�ner's Address s/ � �� r cS �Lf /*�er Phone Number C <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Add�eas <br />/:JOB ADDRESS �I. ��-'! ' �� �V J �� LOT# � <br /> SUBDIVISION PARCEL ID� !f � — � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ��� <br /> WORK PROPOSED NEw CONSTR ADDlALT � SIGN Q �] DEMOLISH � <br /> B INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK� . 51 Iv t�- �b�� I�, l 1 C�J� <br /> BUILDING SIZE � S(1 FOOTAGE� HEIGHT <br /> BUILDING ��(]/ � i �/ UATION OF TOTAL CONSTRUCTION <br /> _,`f� � <br /> �ELECTRICAL $ AMP SERV PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �� �� �J�`�-�-Y ' " <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��--' �����`��`��� <br /> j -d oo v� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��v � v �'C�� �v � <br /> l <br /> BUILDER �..•�� �COMPANY I7 <br /> SIGNATURE � � REGISTERED Y/ FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# C <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL AtNach(2)Plot Ptans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consVuction, <br /> Mlnimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction 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 required for all NEW construcUon. <br /> Directions: <br /> Fiil out application completely. <br /> Owner&Contractor sign back of application,natarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />