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..... ..... ........ v�.� ..� �..�...��....�.. . _....... .rr.._�_._.. <br /> Building Department <br /> n1 - <br /> Date Rscelv�d �� � phone ontact for Permittin — �L � <br /> Owner's Name 2 r� Owner Phone Number �i 3 �7 g 3 '��`1 � <br /> Owners Address +�t Owner Phone Number � �, � <br /> Fee Simple Tkleholder Nama � � Ownar Phone Number � <br /> Fee 3imple Tkleholder Address � <br /> JOB ApDRE33 a. I'l�I ls� r�3 35Y z LOT# �f.Z-- <br /> �' ,+� /-� S PARCEL ID# 3-- �o•.�—Q I I�� 'l�C�f7C�G� 'C�S��/ <br /> 3UBQNISION �I �V� VA'K � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK�R�POSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOUSH <br /> INSTALL REPAIR <br /> PROROSED U3E Q SFR Q COMM Q OTHER <br /> TYPE OF CON87RUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �PI G� ,�3 N � �(V a� s S��- S��'L <br /> BUILDINCi 31ZE � � SQ FOOTAOE� HEI(iHT � �p�� � <br /> OBUILDING $ O C VALUATfON OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C, <br /> QPLUMBING $ � <br /> --- � �,�-oc� � <br /> �MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> Q G A��1 �l' <br /> BUILDER COMPANY C oweS No.++�, GQa��2s �nl t- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> aadress O G�o� $ R'� R-�`A�d�' �L���' ucense# C.F�G l SO ��17 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> 810NAtl1RE RECaISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY <br /> 31(3NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> OTH�R COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa Llcense# I � <br /> RESID�NTIAL Attach{2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Forms;R-0-W Permit for new constructlon, <br /> Minimum ten(10)w�o�icing days after submittal date. Reqwired onsite,Constructlon Plans,Stormwater Plans w/Silt Fence inshalled, <br /> Sanitary Fadlitles 81 �umpster;S(te Work Permi,for subdivlsions!large projeots <br /> COMMERCIAL Attach(3)complete sefs oT Building Pians plus a Life Safaty Qage;;')set of Energy Forms.R-O-VI�Pertr�t`or new constn�ctlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Stlt Fenee installed, <br /> San(tary Facllitles&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 required for all NEW consVucUon. <br /> Directions: <br /> Fill out applicat(on compietely. <br /> Owner&Contractor sign back of appl(caUon,notarized <br /> If over t2S00,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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlvsways-Not over Counter if on public roadways..needs ROW <br />