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81�-1a'J-UULL� �.ii.y �i �aNi iy��n��o � .,������. .p.r.,,.,...,.... <br /> Building Department <br /> Date Receiv�d � -- �� <br /> Phone Contact for Permittin <br /> Owner's Name � `� � '\ Owner Phone Number b I � � �S <br /> Owner's Add�ess <br /> '� '� �" . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J�� 1��1 �''` • ��� `-��C�� "' LOT# � <br /> SUBDIVISION PARCEL ID# _2. ," � ' ��� ,��� ^ . ^ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q MOVE Q DEMOLISH <br /> B INSTALL e REPAIR ��F j <br /> PROPOSED USE � SFR CJ COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK TC� D� G 1�.L�� 0�.� Ty`� � � � IL� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ L��,il C'� VALUATION OF TOTAL CONSTRUCTION <br /> 1 0 <br /> � ELECTRICAL ($ - AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> Q PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGIs7ERE� 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 REGISTERE� Y/ N FEE CURRENT Y/N <br /> Address � License# <br /> OTHER COMPANY 7 �.� ' <br /> SIGNATURE � REGISTER�D Y/ N FEE CURRE Y/N <br /> Address S � � 3•'-�Sy� License# �-I�3�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 Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new consUuction. <br /> Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitar;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 construction. <br /> Di�ections: , <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades over a5000) <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 Appiication Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />