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u�ia-ruv-vv�u t t�tty vt Grt�rr�yrra�i5 rc��rii�t r,�,N�tiva��v�� � -�•— -- - - . <br /> ; Bullding Department <br /> ! i"nOrv o'c r� ' <br /> ;T'_"' ; . . <br /> aat��Racelved , � ��---��� ph ane.Contact f.or Permlttin '��3 2.�� -. �'-t'-�i b"" <br /> sa=�tt m � <br /> 1wnf�r's Name "�,E��►c�1 ��jf:'�j..� Owner Phane Number �r� `" 7 S2-'�8ti'2. <br /> ;— �} <br /> Jwn��r's Address C�� `��� i''U�� Fl �ai�nf 5 f31 vd � Owner Phone Number C I <br /> �— <br /> I <br /> 'ee:tlrrnple Tilleholdar N�ame ���,.,_ �� Owner Phone Number � � <br /> �ee;ilmple Titleholder A�ddress ;� _ � <br /> ____.�� <br /> IOEIF117DtiESS C�75 tl SFLIylr�„�C'�sI+�YF+S��S r�- �35� ] l.OT# �o� <br /> �� <br /> � <br /> iUEli51i/IStON �°C'Z�C�. }��6Li oNS�� PAR�EL 1D#�-2�-2I -t9�'`?C3 - C7G�C�C�c� -C��°7� � <br /> �� I (OSTA3NED FftQM PROPERTY TAX NOTICE} <br /> NOt?Ft.PitOPt)S�b �NEW ICONSTft ADDiALT � SIGN Q Q DEMOLISH <br /> e �INSTIALL �� REPAIR <br /> �R()'FC�SEED.U3E [,�] (SFl�t� C� COMM [�„� OTHER �� <br /> fYF�!_t?F GON3TI�UCTIClN [� �bLII� K C] ��M� � STEEL C] <br /> QeS�FtIPTION OF�W�)RM h ao:n 1'��"adeL —��e.�t����� ` ' x � 2� <br /> � a�-_ �� �1 <br /> � - <br /> �� <br /> BUtL,i71N6i StZE SQ Ff301'A(3E�5�'+ r NEIt3HT ��� <br /> u��� u�a�a��a��x�c � <br /> (-- ���"�+�� $ /{i� ��. VALUATIt�N OF TOTAI.CONSTRUCTION `i �t3Z� <br /> ! I ,39 s�� I ,� i <br /> � <br /> ��ELECTRICft� $ ' AMP SERVICE Q PRQGRESS ENERGY C� W.R.�.C. <br /> ��i� ( � <br /> '__�PLUMBINO $ ;� <br /> ' � 6G <br /> [_�MECHANlCAL r$ VALUAT!()N OF MECHANlCAL INSTALLATION /'�° <br /> L��?� � <br /> ��GAS [�] IROfaFING �, SPE(,lALTY [� OTHER `� ���� <br /> FiNISHECt Ftt30�t Ef.EVt4TiONS ��'� FLQt}D ZONE AREA �YES hi() <br /> C�--- � � �-�,� � ��.�.� ��:�.. <br /> ttF�Ffithi-t'Fti-Ftfthiitttit �i-htt `, . <br /> -�-�----��. ;-- -- . ��� <br /> BUtI_DER �f���'U �� A,� , PANY .����ES� l-Ian+•�, C�ri���2�' _�p4�� . <br /> SIGi{��1TURE � "'W �_�� ftEGISTERER Y i N FEE GURREA ��1� <br /> Address �}Q �o!� �1 0,1� '�`"�� '�+'=�A�t u{s� :3�-�'7� License# C..�o�. ( �J� ��'7t~I ,.7 <br /> � � � . <br /> EI.EC'I'RICiAN j� `�.�{ t;OMPANY __��t /F� <br /> SiE.i��tTURE `���� F2EC3lSTERED Y J N FEE GURR�t� Y/N <br /> �-- <br /> �.."_ E <br /> Address C� ; � �� Llcense# C ] <br /> _ ,"�� � * ,• <br /> � <br /> PLI�MBER �,p ���� �� t;OMPA(VY <br /> S1t�WATtIRE l� � I I FtEt3lSTERED Y/ E2 �EE CURR�h Y/I`1 <br /> /Address �� I��� � � License# � � <br /> j~ � <br /> ME:ChIANICAL. , � � CQMPANY ] <br /> SIt3T�ATt1RE ; � FtEGtSTEREO Y/ N PEE CUF2REt� Y/h1 <br /> �..�.....�..._.,___.. <br /> �ddress �„_ i� � � � Llcense# C � <br /> ,_ �..'�'�� — <br /> 01'NER ' � i f�OMFAPlY ] <br /> 31�N�1Tl1RE _ ;���� R£GISTEftED Y/ N fEE CURREA Y/1�I <br /> !�� � ! <br /> Addresa � i I � � � L(cense# � ,_,� <br /> i-}iH- f"I-f' fttiitHi-�H Ftti�tMi-Fti-ii� �� <br /> RE35ti�ENTiAL Attach(2j Plot Plans;(2�sets�of 8ulldfing Plans;(1l set of Energy Forms;R-Q•W Permlt far new consUuctlan, <br /> - — Minimum_tec�(10).wo�kir�g d�� s after_submitka{date. Requlred onslte,ConsUucUon Plans,Stormwater Plans wl Sill Fence Inst�lled, <br /> Sanllaty�FaGlitles&1 d�mp,>�er;Site Work�Permit for subdivlslonsllarye=pro}ects------------- , � <br /> C�)M�IERCIAI. A4tach(3)compiete set of E3 ilding Ptarns p�us a C.1fe Safa#y Page;(1)set of Energy Porms. R-a-VV Permlt for new consWctlan. <br /> Minirnum ten{10}warkir'rg dF� s after submitfai date. Ftequired ansite,Constructlan Plans,Stormwater Pla�s w/3!!t Fence Inst�!led, <br /> Sanitaty�acqitles 8�1 d S��mp5 er.Slte Werk Permlt for al!new proJects,All commerclal requirements must meet cornpllance <br /> SiG3N PEERMIT Attarh(2)sets of Engln(�erei9 Plans, � <br /> "*'PROPER'i'Y SURV�Y ra uired for afi NEW cansfrtsction. <br /> aCili�L��Itlai.'t�I:7 <br /> Directions: ' <br /> FIII aut applfcatlun c;ompletely, l � � <br /> Owner&Cantractoe sign back of appll�satfar�,notarized i <br /> 1f over i2500,�Nc►tice of Commenc��n�an�fs requlred.� (A!C upgrades ovor 57500) <br /> '• Agflnt(for the c+7ntractor)ar Power of�;1ttorn�ey(for the clwner}would be someone with notarized letter from owner authorixing same <br /> O�JG�t TH�COUNTE9R IPEftMiT71NG '{Frvr�t of Appllcation Only) <br /> R�roofs lf shingles 8ewers Serv�ce lJ grades A/C � Fences(PIoUSurveylFootage) <br /> i <br /> qrtveways-Not avfsr Countar if on publlc ro Idways..neods'ROW � <br /> I t <br /> I 5 r � <br /> c '1 e <br /> � i : _. a � <br /> ' ^ S� <br /> - i <br />