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- _ _ <br /> _ % <br /> o„-,ow���� c;ity ot�epnyrniiis Permit Application �ax-813•7$�-�d2� <br /> BuAding Department <br /> te Recalv�d � ,�j�� 2."'�� phQn$Contact for Permittin – <br /> rner'a Name ��'rlT�b� ��"� ��'"�� j`"��S Oamer Phone Number ��d���'�~� t� <br /> raer's Address ��sa3 GQ�--�-�t �R� Ownsr Phone Number „_,� <br /> a Slmpte 7itleholder Name �� � � Owner Phone Number � <br /> B 3lmple 7ltleholder Address <br /> B aaaR�ss �'��•� GA 2 S"t` - A �-0=# L—�—� <br /> 'BQlVlSIQN � �� PAEtCEI.fD# <br /> (QBTAI!!EQ FROM PROPER`CY TAX NOTIGE} <br /> �RK PROPOSED e NEW CONSTR 8 ADD/ALT � S1GN Q � DEMOLISH <br /> 1NSTALL REPAIR <br /> .OPOSED USE � SFR Q COMM � OTHEF2 <br /> PE QF CONS'i'RUCTfON Q BL.00K Q FRAME [� STEEI Q <br /> SGRIPTlQM 4F WbRK ���°'L� �K�-� a�`'�°Z �`��, �� � S � <br /> �ILDI SIZE � � SQ FOOTAGEC_� HEIGHT C__._�� <br /> BUILDING $ )//�� � VALUATION OF TOTAL CONSTFtUCTION � <br /> I`�' <br /> ELECTRICAI ��� AMP SERVICE Q PROGRESS ENERGY W.R.E.C. � <br /> C� -- ' , ��3 3:� ��,����� ` <br /> PLUf1ABING $ � � � <br /> �w"_' �f,�fj'� <br /> QMECHAMCAL $ VAIUATION OF MECNRNIGAI lNSTAIi.ATiON u�� � � <br /> �5 w ,�a��S <br /> QGAS Q ROOFING Q SPECIALTY [�� OTHER �,�LY�t1Y� <br /> IISNEd FLOOR ECEVATIONS FLOOD ZONE AREA QYES - NO r <br /> II.DER ���`// � '��( COMPANY N�/i��+.�.�nz..r" <br /> iNATURE r�P v� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# �— � <br /> =_CTRfCiAN COMPAMY <br /> �NATURE REGISTERED Y/ N FEE CURRE� Y/IV " <br /> Address Llcense# �� `� <br /> JMBER � � � COMPANY � <br /> �NATURE REGISTEF2ED Y/ IV FEE CURRE� Y/N <br /> Address License# � � <br /> CHANIC�41. COMPANY <br /> NATURE ftEGiSTEftED Y/ N FEE CtlRRE� Y)N <br /> Address � License# r� � � <br /> iER � � COMPANY <br /> NATURE REGlSTEF2ED Y/ N FEE GURREt+ Y t N <br /> Address license# �` `� <br /> ►tL?ENTtAI. Attach(2)Plat Ptans;(2)sets of Bullding P�ans;(1)set of Energy Forms;R-O-W Permit for new consdvcdon, <br /> Minimum ten(10)working days after submittal date. Requlred onsfte,Constructton Plans,BtoRnwater Plans w!Sllt Fence fnstafled, <br /> Sanitary Facilifles 8�1 dumpster;Site Work Permit for subdivisionsAarga proJects <br /> dMERCIAL Attecfi(3)camplete sets of Buliding Plans plus a Ufe Safety Page;(1)set of Enerc,�y Forms.R-O-W Permit for new consUuc�on. <br /> Minimum ten(10)wotking days'after submittal da#e. Required onsite,GansUuctton Plans,Stotmwater Pfans w/Sflt Fence instaAed, <br /> Sanitary FaclOtles 8�1 dumpster.Sfte Work Permit for aU new proJecks.All commercial requlrements must meet compltance <br /> N PERMIT Attach(2)sets of Engineered P�ans. <br /> ""'"PROPERTY SURVEY requtred for eU NEW construcdon. <br /> ctlons: <br /> Flll aut appllcation completely. <br /> Owner 8 Contractor sign back of appllcation,notadzed <br /> � If ovar 52500.a Notice of Commencement!s required. (A/C upgrades aver 37500j , _,.,,_._,<., ... . . ...-•.��•m , -�- <br /> Agent{for the contrackor)or Power af Attamey(for the owner}would be someone with notarized�etter ftom owner authorizingsame'' '_i. ''��i� ' . , � . ; <br /> ,R THE COUNtER PERMITTING Front of _. Ilcation Onl � ' "� �� . ?� �-. <br /> �ofs If shingles Sewers Service Upgrad s AlC� 'Fences(PIoUSurveylFootage} ' -� '�''' �` _, � � � `� <br /> .-. � . - � � :i <br /> � Drtveways-Not over Counter if on public roadways::needs,ROVY" . . � ' _�' , � � . ~ F - - ~� •- <br /> � � - .. . .-� _� � „ ., -.: . <br /> � �� � ` . <br />