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$13-tt3U-UU'LU t���.y v� �cN��p���o�o � ..�,�.�., •rr•�.,�...... <br /> Building Department <br /> • i <br /> Dat�Received Phane�ontact for!'ermittin <br /> ��r���¢ Owner Phone Number � • '" "t <br /> Owner's Address W� , ���� d�.Y�- Owner Phone Number�� � <br /> Fee Simple Titlehoider Name Owner Phone Number�—� � <br /> Fee Simpie Titlehoider Address <br /> JOB ADDRESB �I'� � S��V 1 Q� (�. � �oT# � <br /> susoivis�oN �r � PARCEL ID# 1� � � � •(U�l� � <br /> (4BTAlNE[3 FROM PRBPERTY TAX NdTICE} <br /> WORK PROPOSED e NEW CONSTR e ADD/RLT _ SIG���� MOVE Q DEM{3L1SH <br /> ItVSTA�I. REPAIR � <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONBTRUCTIUN Q BLOCtf FRAME Q STEEL Q OTHER <br /> , � } � � � �C l � <br /> DESCi21PTiON OF WOR1C � �� `-�- G...t..�� � <br /> BUILDlNG SIZE ��_� SQ FOOTAGE HEIGHT „_ <br /> � BUILDING ($/.,,,)'��� --- �� VALUATION OF 70TAL CONSTRUCTION <br /> I t.1f <br /> Q ELECTRICAL ($ — � AMP SERi/ICE [� PROGRESS ENERGY Q W.Ft.E.G. <br /> { <br /> Q PLUMBiNG ($ �� <br /> � �� <br /> Q MECFiANIGAt $ VALUATION t7F MECHANICAL IIdSTALtAT14t�! �l� <br /> �` <br /> Q GAS RC}OFfNG 0 SPEGlALTY [�] OTHER <br /> FiNISNED FLOOFZ ELEVATtQNS � � FI.OUD Zt3NE AREA QYES Q@IO <br /> BUILDER COMPANY <br /> SI�NATURE REGISTERED Y/ (V FEE CURRENT Y l N <br /> Add�ess License# � � <br /> ELEC7RICIAN COMPANY <br /> SiC3NATUF2E REGiSTERED Y/ N FEE CURREPI7 Y!N <br /> Add�ess License# � � <br /> PLUMBER GOMPANY <br /> SIGNATURE REGiS'FERED Y/ N FEE CURRENT Y/N <br /> Address License# �-���1 <br /> MECHANICAL COMPANY <br /> SIGNATURE ize�ISf�eo Y! N FEE CURRENT Y!A! <br /> Address ' License# r- � <br /> OTHEF2 � ` � �t� COMPANY � <br /> SiGNATURE REGtSTERFD Y/ N FEE CURREN Y/N <br /> Address 4�i. , � � �icense# �f�.��.5��� <br /> RESiDENTIAt Attach{2)Rlot Pians;(2}sets af Building Pians;(1}set af Energy Forms;R-C?-W Permit far new construction, <br /> Minimum ken{10}working days after submltta!date. Ftequlred onsite,Constructlon Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanikary Faailities&1 dumpster;Site Work Permik for subdivisions/large projects <br /> COMMERCIAL Atfach(3}sets of Building Pians;(1}se#of Energy Forms.R-4W Permit far new construction. <br /> Minimum ten{1Q}warlcing days after submit#al date. Reguired onsite,Conskruction Plans,Stormwaker Plans w/Silt Fence inskalled, <br /> Sanitary Fadl(des&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMtT Attaoh(2)sets of Engtneered Plans. <br /> **"*PROPERTY SURVEY required for ai!NEW construction. <br /> Directians: <br /> Fili out appfication campletety. � <br /> Owner&Co�traator sign back of application,notarized <br /> If over a2500,a Notice af Commencement is requlred. (AlC upgrades over 5500Q) <br /> ** Agent(for the contractor)or Power of Attomey(for the awner)would be someane with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front af Applicatian Only) <br /> Reroofs Sewers � Service Upgrades R�jG Fences{P4oUSurveylFoatage} <br /> Driveways-Not over Counter if on publto roadways..needs ROW <br />