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81:i-/tfU-UUYU �..�IL)/ 4t LGf.Ai lyl l l���o , �.������. .�.p.��............ <br /> , . Building Department <br /> Date Received �� <br /> Phone Contact for Permitting -- �� l ' <br /> Owner's Name Q� 1 +("-1 Owner Phone Number <br /> Owner's Address 1 �Q� Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number[ <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ��L-`-1 ' I(��� � , /�1 ��J��� C� � LOT# � <br /> SUBDIVISION PARCEL ID# I I�Z� • 2�• ��� ' ��3� ' ��I t,.l. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NSWA�ONSTR e REPAIR � ���� MOVE Q DEMOLISH <br /> PROPOSED USE � SFR 0 COMM Q OTHER � <br /> TYPE OF CONSTRUCTION ,� BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK :� (�YT �' I�t'XbT' �I �S C� �7�� �1 6��Y��� � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $�° � , y VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> Q ELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ��NO <br /> BUILDER COMPANY <br /> SIGNATURE Re�isTeReo 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 REGISTEReo 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 �2 `� ��� • <br /> SIGNATURE � _ � '� REGISTER�D Y/ N FEE CURRENT Y/N <br /> Address `J�� �, �l- � 3?j � License# �/:.3 Z.S.i C;�� <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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)sets of 8uilding Plans;(1)set of Energy Forms.R-O-W Permit for new consUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Slte Work Permit for all new projects.All commercial r�quirements must meet compliance <br /> SIGN�E�MiT i�ttach(2)sets of Engineered Plans. <br /> "*'"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement ls 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 Oniy) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />