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' ; n•io-�nu-uuzu i Ciliy OT Lepfly�f1111S f efTTlli HPPIICaIIOfI rax-crio-iou-uu�i <br /> � ' i Building Dopartment <br /> !�r�d�� a�� <br /> Da��E�Received � Pfyone.Contact f.or Parmlttin �J � �(�� �'�;�,;�' <br /> xas�w�o� +� ^�� ' � '. - <br /> sa -- � � <br /> OHme�'s Wame _�+���`�' ��%�j �_ Owner Phone Numbar �6�� -2�$�-�a6$ <br /> Ow�ri�r's Addres:�C��'/ f �/ �fa� Q Z��✓Zyti%�($� Ownar Phone Number C � <br /> �- <br /> Fee,;iim le 71tleFiolduU�lamo I C � <br /> P ��_ Owner Phone Number <br /> � <br /> FeE�Rimple Titleholdi�Y�'►ddress C__ _ � <br /> JOIB ADDRESS [�3�I 3 � �AOZ�G�p�/� Z���fyS /cL ?j 3�'y� LOT# [�2 <br /> ���� <br /> SUIBDIVI:►10N CZ�r'�`Y� r'��%J'r�7,� S _� PAR�EL ID#I '2-Z�'�/'�����0(O� -�(�� <br /> , � (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> WCiFtE(PItOP03t:D NEW�CONSTR ADD/A�.T � 51GN Q Q DEMOLISH <br /> iIN�'�ALL Ej REPAI <br /> PR��I�OS�D U8E iSFFlI �] COMM� � OTHER � —� <br /> TYI�E:OF CON3TRUCVIUN 16LC) K �� FRAME � STEEL �] _—� <br /> DE;SCRIPTiON OIF W�)RIC �2�Ia9C � (.veN��� �Ja�e7s' Sf 2.e_�Sr'2,C �e //Jr2� � <br /> �- <br /> BUIIL.nING SIZE , SQ FUOI'AGEC� HEI(3HT �� <br /> [337R- FL� �73�i <br /> [ � UILDINa $ 3 �i�P�G �� VALUATIO I OF TOTAL CONSTRUCTION <br /> f=� i <br /> �_�ELECTI21CP�1. $ I AMP SERV CE [� PROGRESS LNERGY [] W,R,E.C, <br /> C;= � ; , <br /> I.�PLUMBING $ ' �`ba�� ` St�� A� <br /> C�_ � ��, <br /> ��MECHANICAL $ ' � VALUATI()N OF MECHANICAL INSTALLATION �a <br /> C�� <br /> ��GAS Q IROV'FING �] SPE(;IALTY [� OTHER <br /> FINI:�HED FLOOR EL!?V<�TIONS �- FLOOD ZON�AREA [�YES NQ <br /> C; � -� _P �� ���� ��:�.,.. <br /> rtt�-��-t-ri-ittt-Htt-rttt�-�-ri ; r � , � -�. Htt�t#ti-ti <br /> -- , - . — � <br /> � � / <br /> BUIL.f�ER � I,OMPAPIY (%�4�•eS l�oM•�, Cgr,i�T�l�3'�,pL-G. �—] <br /> 51GNATURH _^ _ ; _ RE�GISTERED Y/ N FEE CURRE� �I <br /> A►ddress �U Qp`� �� �i�'`'��j �I�-�'A�u�� ��-�7� Llcense# C..�o�, � S�� �;�l .� ] <br /> -- ;---�- <br /> ELE:I;TRII;IAN � f;�MPANY _] <br /> 51GNATURE __ •_. � FtE�GISTERED Y/ N FEE CURRE� Y/N � <br /> i�� �Address �__ ! _ � Llcense# C <br /> -- i—� � <br /> �LUIVIBER j ' I:OMPANY —] <br /> iIGN�1TU�tE i I � fIEGISTERED Y/ N FEE CURRLI� Y/N <br /> '_ _'� I <br /> I � <br /> Address ` ���_^ � License# C _] <br /> --- '-- <br /> i ��HEI,;HANICAL � i IIOMPANY <br /> 31GP1ATU�ZE — _.�_� RE�GISTERHD Y/ N FEE CURRE� Y/N <br /> �"'T___ � <br /> Address C� � j__ ! � License# C <br /> JTNI�R ` � �—' i �;OMPAPIY ] <br /> 31GIr1ATU�E [__ ; i ftEGISTEREp Y/ N FEE CURRE� Y/N <br /> I��_! I I <br /> Address C_ � � ; � Licenae# C � <br /> +f-tti-f-I-fti-�i#f-F�ItHiii ii-H-P H-H-iiii�ti'Htt �I tfftti-ftttttt <br /> 2E;;IDEN'fIAL AttF�ch(2)Plot Plans;(2�seQs of Bullding Plans; (1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)workirlg d�� s after submlttal date. f�equlred onslta, ConstrucUon Plans, Stormwater Plans w!Silt Fence installed, <br /> Sanitaiy:FaGlitles 8 1 d���mp:s er;Site Work Permit for subdivisions;farge projects - - -- ____ <br /> :OINMERCIA� Att�ich(3)complete sets of G! ilding Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-VV Permit for new construction. <br /> Mlnimtim ton(10)workir'�g d�i's after submittal date, Requlred onsfte,ConstrucUon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitaiy Facilltles 8 1 d��mps er.Site Work Permit for ell new proJects.All commerclal requlrements must meet compliance <br /> 51Gfd PERMIT Atte�ch(2)sets of Engin��ere�i Plans. ; I <br /> """PROPERTY SURVEY ro ulred for all NEW constructlon, <br /> aII77�II�]7] R]'ii � <br /> )Ir�e2tons�; ; � <br /> FIII out application completely, ; , <br /> Owner 8 Contractor s�ign back of appllS;atior�, notarized ' <br /> If ovE�r SZ500,a Motice of CommencEimen�Is required, (i41C upg ades ovor S7500) <br /> �• Agent(for tho contrac;tor)or Power of E�ttorni y(for the uwner)would�e someone wlth notarized letter from owner authorizfng same <br /> �VE_°I4 THI�COUN7ER pEiRMITTING (Fror�t of.Application Only) <br /> �eroofs If shfngles SE►wers Servlce U grades A/C I Fence (PIoUSurvey/Footage) <br /> Urivaways-Not ovor��ounter If on publfc ro dways..nee�ds ROW <br />