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813-/�fU'UUYU lilLy t.al [_G���Yt�nno � �.������. .�..�.��...,....... � <br /> 8uiiding Department <br /> Date Received phone Contact for Permittin )�� — �F�(.J 1� <br /> Owner's Name 4J..1 o f` ! 1 U Owner Phone Number � � � � <br /> Owner's Address �L�� `�2�4 " � '' 1 Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ) � 2 <br /> JOBADDRESS /�� �_-r��1��� �-'l • ��1 �— J�,���It� LOT# � <br /> SUBDIVISION PARCEL ID# . � ^ �..%I�G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � „SIGI�� MOVE Q DEMOLISH <br /> INSTALL REPAIR � � <br /> PROPOSED USE � SFR � COMM Q OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK t �' �Q l � I I 1�► \ � �`t`�_. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> 0 BUILDING $('�]���' � (�� VAlUATION OF TOTAL CONSTRUCTION <br /> �..� �.� <br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � 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 QNO <br /> BUILDER COMPANY <br /> SIGNATURE ReGisTeREn Y/ N FEE CURRENT Y/N <br /> Address Llcense# � <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 REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# <br /> OTHER � 1 ` COMPANY u (y�Lt1 �({' � � • <br /> SIGNATURE � REGISTER�D / N FEE CURRENT Y/N <br /> Address 1 � � License# ��/:3 Z.S�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 8 1 dumpster;Site Woric 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 days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift 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 ali 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 is required. (A/C upgrades over 55000) <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(Plof/Survey/Foatage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />