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$�3-(SU-UULU I.rIL�I UI LG�.11l�lllu��u � �.���n�• •r+r���"•��•• � . <br /> Building Department <br /> � . <br /> . Date Received Phone Contact for Permitting � ��l -` ���-4 �� <br /> :� <br /> � Owner Phone Number �j �' �I <br /> Owner's Name . ` ��� � � <br /> , .. : . . . _ . . . ��� <br /> Owner's Address �S 1 Owner Phone Number � � � <br /> Fee Simple Titleholder Name Owner Phone Number . � <br /> ;� <br /> Fee Simpie Titleholder Address - <br /> JOB ADDRESS. `-'l� S. LOT# ���` <br /> SUBDIVISION, � PARCEL..ID# �S�:c� , . . ' . ; ' � <br /> � �(OBTAINED FROM PROPERTY TAX NOTICE) <br /> W,ORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q MOVE �] DEMOLISH � <br /> ,_� e INSTALL e REPAIR � �1Z0(.� . <br /> PROPOSED USE . , �� SFR, . 0 COMM Q OTHER ` � ' � <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q � STEEL � Q OTHER ` = <br /> � . <br /> DESCRIPTION OF:WORK. � � �` �� l� ��I � � " , <br /> BUILDING SIZE. SQ FOOTAGE HEIGHT � . • . - • . - . <br /> � BUILDING $ . ' VALUATION OF TOTAL CONSTRUCTION , , . . , � _ , - <br /> `�a�a --� <br /> 0 ELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY �] W.R.E.C. <br /> Q PLUMBING $ . �,` ` <br /> � ' • <br /> 0 ��.. . . <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 4�c; <br /> 0 GAS ROOFING 0 SPECIALTY Q OTHER . _ � • <br /> FINISHED FLOOR ELEVATIONS� FLOOD ZONE AREA . . QYES QNO; . ; <br /> ._ BUILDER_...-- -,....—-------- COMPANY • ,., ,.. . . , .. . __ -- , <br /> SIGNATURE � REGISTERED� Y/ N , FEE CURRENT: , Y/N <br /> . . . .. ..,.. .. <br /> . . �; .: <br /> ... License#',� ;, � .. :.:,..;: <br /> Address � <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 , ' COMPANY ��-1 �� ' I <br /> SIGNATURE'�� REGISTER�D Y/ N FEE CURREN Y I N <br /> Address �-[ 3 O�-1'C S�-I � J3Su '. '`License# ��-�:3�.:5.�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 iristalled, <br /> Sanitary Facili6es&1 dumpster,Site Work Permit for subdivisions/large projects . � i _ <br /> COMMERCIAL. Attach(3)sets of Building Plans;(1)set of Ene�gy Forms:R-O-W.Permit for new construction. „ : � -. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must ineet 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(PIoUSurvey/Footage) <br /> . Driveways-Not over Counter if on public roadways..needs ROW , . <br />