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81.3-/lil.1-UIJLIJ l�ll.� VI LGt.J11y1 i�nia � �.���n�i ��.r+��v......... <br /> Building Department <br /> Date Received ' Phone Contact for Permittin -- <br /> Owner's Name �<'.� �1 Uf k' Owner Phone Number <br /> Owner's Add�ess �- Q y D ���. Owner Pho�e Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> C _ �� � _ LOT# � <br /> JOB ADDRESS G <br /> SUBDIVISION �1 ,, � PARCEL ID# 1"f� C�V� ' �I•C1���l�f� t��')• )� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � nSIG�� MOVE Q DEMOLISH <br /> INSTALL REPAIR 'C,Q <br /> PROPOSED USE � SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER�D ��2 <br /> DESCRIPTION OF WORK ��f� ��t-� �+ � ��� � '*'�,S �� �-�^ `�� ' ti � <br /> BUILDING SI2E SQ FOOTAGE HEIGHT �� <br /> � BUILDING $��c ,�j ._ VALUATION OF TOTAL CONSTRUCTION <br /> 7L <br /> 0 ELECTRICAL $ AMP SERVICE � 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 REGISTERED 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 Re�isTEtteo 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 � �� I�-����� �� - <br /> SIGNATURE ' REGISTER�D Y/ N FEE CURRENT Y/N <br /> Address �l I �j � s�-i �- 33SL{► License# �I:3 Z-���%'�� I <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)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new wnstruction. <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 Worlc 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 /> 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$5000) <br /> *" Agent(for the contractor)or Power of Attorney(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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />