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$13-/23U-UUYU I�IL�/ VI LcN��y���n�u � a.��i��.. .�..�..��.......... <br /> Building Department <br /> Date Received Phone Contact for Permittin -- CQ � <br /> Owner's Name i I Z I Owner Phone Number - � <br /> r <br /> Owner's Address �' � .� � • Owner Phone Number� <br /> Fee Simple Titleholder Name Owner Phone Number� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l�(``1 �(1�U V � � � '�, LOT# � <br /> SUBDIVISION �X�L PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q S_IGN�� MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM Q OTHER � <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q OTHER <br /> � <br /> DESCRIPTION OF WORK �� ��� '� F�.� �-E� `P <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $�-^�� ` ,_, VALUATION OF TOTAL CONSTRUCTION <br /> G � <br /> 0 ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS � ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ��NO <br /> BUILDER COMPANY <br /> SIGNATURE ReGisreReo 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 I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# <br /> OTHER COMPANY �'��'--� 1�f'���� C�V,II�C � <br /> SIGNATURE � REGISTERFD Y! N FEE CURRENT Y N <br /> Address , � � �1\ �C- �. C � � License# ��/:3�.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 Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)sets of Buiiding Plans;(1)set of Energy Forms.R-O-W Permit for new consVuction. <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 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 /> Fill out appiication completely. � <br /> Owner 8 Contractor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over a5000) <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 />