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Date Received phone ConWct for Permittif1g � <br /> _�-i��-T-T-�-T i� . -._�._. _ .1 � I i 1 <br /> Ownefs Name � � <br /> Owner Phone Number <br /> Owner's Address � Owner Phone Number �� <br /> Fee Simple TitlehoWer Name 5� � �j�fY1 � Owner Phone Numbar �� <br /> Fee Simple Titleholder Address - 'g S I ,� � � (�""� <br /> JOB ADORESS LOT# [� <br /> SUBDIVISION PARCEL IDdt 35-25-2 f - O��a-0000��� <br /> (OBTNNED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � O DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �—� <br /> DESCWPTION Of WORK ..S�n i q� �- � <br /> [� � y� ��5-�, <br /> BUILDING SIZE SQ FOOTACaE HEIGHT <br /> �BUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUM8ING $ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION S� <br /> I <br /> �GAS Q ROOFING � SPECIALTY O OTHER <br /> FINISNED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 1 /� 1 `.. <br /> BUILDER � COMPANY rtM`W ���'(���(,�� <br /> SIGNATURE aer,�sre�p Y/ N FEE ctmr�n y/N Tj <br /> Address ,1���1�:- �Q. M� gt License�F Ci (i�'�\ ` <br /> �,,�.�.._..,�_... <br /> ,� ELECTRICIAN �n O � ��{_ COMPANY � ,�,� �'!� <br /> SIGNAT �'r-" KEJ��� REGISTERED Y J N FEE CURREA Y/N Qr/Gv� <br /> —� Address �� <br /> License� —1 �1�4v"_�_ <br /> �- ----� � �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address <br /> License# —1 <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address <br /> _ License� —1 <br /> OTHER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREf� Y/N <br /> Address License it [ � <br /> 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Build'mg Plans;(t)set of Energy Fortns;R-0-W Pertnit for new oonsUuction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Conslnictan Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,SHe Work Permit for subdivisions/large projec.ts <br /> COMMERCIA� Atlach(3)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)waking days aft¢r submittal date. Required onsite,ConsUuction 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 Pia�s. <br /> ""PROPERTY SURVEY required forall NEW constnutlon. <br /> Directlons: <br /> Fill out appliwKon completely. <br /> Owner&Contradw sign badc of applicauon,nutarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(far ihe contrador)or Power of Attomey(for the ovmer)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Ony) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />