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���-,�w�<� �iry or�epnymuts rerm it Hppncation Fax-e,s-�eo-oozi <br />' Building Department <br /> � Date Pteceived phone Contact(or Pertnittln <br /> Obmer's Name Owner Phone Number <br /> Owner's Address Owne►Phone Pdumber <br /> Fee Simple Titleholder ldame � Owner Phone Idumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL IDq <br /> ' (OBTAINED FROM PROPERTY TA7C NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF COMSTRUCTIORI Q BLOCK Q FRAME 0 STEEL Q <br /> OESCRIPTION OF WORK <br /> eUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING S � '��i VALUATION OF TOTAL CONSTRUCTION <br /> v�l V <br /> QELECTRICAL $ I AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a � i L��(�,n <br /> .t.V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION e��C 1 �� ��\ <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> C J <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER "1 �,COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RRE� Y/N <br /> Address License# <br /> � ' <br /> ELECTRICIAN I'���..��� �(�.��L COAAPANY <br /> SIGIdATURE REGISTERED Y/ N � FEE CURRE� Y/N <br /> Address License# <br /> �LUMBER ��S ��,��- �` COMPAPIY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> MECHANICAL ��r, ��I � L � COMPANY <br /> SIGMATURE � REGISTERED Y I N FEE CURRE� Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGkATURE Recisreaeo � Y/ N FEE CURRE� Y I N <br /> Address Ucense# <br /> RESIDEIdT1AL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requtred onsite,Construction Pians,Stormwater Plans w/Silt Fence inslalled, <br /> Sanitary FaGlities&1 dumpster;S(te Work Pertnit tor subdivisionsAarge proJects <br /> COMMERCIAL AMach(3)comptete sets ot Building Plans plus a Life Safety Paga;(1)set of Energy Forms.R=0-W Permit far new canstruction. <br /> Minimum ten(10)working days after submiHal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili0es 81 dumpster.Site Work Permit for all new prajects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ••'•PROPERTV SURVEY required for all NEW consWcUon. <br /> Directions: <br /> Fill out appllcaUon completely. <br /> Oumer&Contractor sign back of applicatlon,notaNzed <br /> 1�over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> •' Agenl(for the conVactar)ar Power of Attomey(for the owner)wauld be someone wlfh notarized letter 6om owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of AppllcaUon Only) <br /> Reroois if shingies Sewers Service Upgrades A/C Fences(PIoVSurvey/FooNage) <br /> DrivewaysNot over unter if on public roadway�s..need R9Vy.� �`� ��1.:��y �� �-i�+{l�''"j <br /> 'l3-�PS'C�.'��>���� °f�r�] "�'��- i �' '", � ::�j�: 11�t�`C�� !t���Iz�. <br /> �,E,i��I�:;rJ i� �/i�•k���� ���;;.�--��u11� i�-�� � , (2 ,7' - . <br /> � � '" �,(.i�'�R1� Lv� `' �'7► ��J �-r��ils� � `�-�- i i ���� <br />