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n•ia-rav-vu�u I l:li}/ OT L@pfly�f1111S I-'G'�CTlli HpPIICaLI0f1 rax-u�io-�nu-uu�i <br /> , <br /> ' ; Bullding Dopartment <br /> _,� rv i c!a <br /> DaitEi Received �p �� � Ph�one.Contact i.or Parmittin �f-3 26q .. RqG� <br /> ax=c:mt¢�m =3� � m] <br /> , �1 I , <br /> Ovurier's Plame _�� �~ 5 1�1 C � Owner Phone Number S � 3 '�3� —O��S <br /> Ow�rior's�4ddres�C?�.�Q �'i���A G� L.P � Ownar Phone Number C � <br /> I <br /> Fee�:9lmple Titletiold�av�lamo C; _ � Owner Phone Number � <br /> i <br /> FeEi:timple Tltlehold�r�►ddr�as C__ _� � <br /> JOIB ADDRESS [��•2� �����+f!���/ L� �-L'P�"2Y�'i l/S FL 3 3 5�Y/ LOT# [� <br /> �—_� <br /> SUIB!)IVI:iION CIgArL �Kn� ;__ i _, PAR�ELID#� _� <br /> � �� (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> wc�Ftac PFtOROSE:O rvew�coNSTa ADD/ALT 0 SIGN [� 0 DEMOLISH <br /> B �IN:iT�ALL E� REPAIR <br /> PR��F�OS�D.U8� C] �SFFt �] COMM � OTHER � <br />', TYPE OF CON8TRUGVIUN [�] �BLC) K �] FRAME �� STEEL Q —� <br /> i — <br /> DE:SCRIPTION OIF W�)RIC �P'jA I SP�diN} Cf c9o,2 Gni r'T S;22�Si�.� �L 1/(o�F(o� ( <br /> i- <br /> I BUIIL.nIN<i SIZE C__ FUOI'AGE HEI(3HT �� <br /> [Ii7R:R�3Y-�7Si�FFL � <br /> r UILDINO $ /3 '� � LUATI()N OF TOTAL CONSTRUCTION <br /> � � I <br /> �_�ELECTRICP�L $ ! AMP SERVICE 0 PROGRESS ENERGY �] W,R,E.C, <br /> i i . <br /> I ��PLUMBING � <br /> `I I Q� V <br /> ��MECHANICAL $ ! j VALUATION OF MECHANICAL INSTALLATION . l�cJ <br /> C._ � <br /> ��GAS Q IROt7�FING �] SPEt;IALTY � OTHER <br /> FINI:iHED FLOOR ELl=Vf1TIONS �— FLOOD ZONE AREA �YES N() <br /> C�-.t----� �. �.P �� �-��� ��:�,.. <br /> rttii�tttttt�-rttto-�rt� ;trrft�tttt�-rtit� � �+�++, <br /> . �-' , - �� <br /> BUIL.pER i ` I;OMPAPIY ��4J�6S l�OM'�, ��,N r'e2�r,��� A6�. �] <br /> 51GNATURE ___ � J, f2EGISTERED Y/ N FEE CURRE� T�/ <br />� Address �b �p� �� �/I�,`'��J �/=��A ��c� � :3�-�37"�' Llcense# �.�roC, � S�� �� �' 1 �,� <br /> � ;_�_ <br />� ELE:f;TRICIAN � COMPANY � <br /> 51GNATURE __ ,.�__ FtE�ISTERED Y/ N FEE CURRE� Y/N <br /> �,_._}._� <br /> I <br /> Address __ ' � _ � Llcense# � � <br /> � �—� + <br /> LIIIYIBER I : f.OMPANY —] <br />, �IGNATUVZE ___ i i F2EOISTERED Y/ N FEE CURRL� Y/N <br /> Address �� j��. _ � License# C ] <br /> � <br /> -- � —� <br />'� HE�3k1ANICAL � ; 1',OMPAIVY <br /> 51GNATUVtE r � REGISTERED Y/ N FEE CURRE� Y/N <br /> ���— <br /> I llddress �� I ' � License# C ] <br /> � •T-- � <br /> ��� ;�'.�...�� i <br /> �TI�I�R �s � � ^ i 1;OMPAPIY <br /> 31GMATU�tE ;_ I � ftEGISTERED Y/ N FEE CURRE� Y/N <br /> i'�—'T <br /> Address �� � I ; � License# C �,] <br /> E I�EN FIA��AtH ch 2)Plot Pians; 2 se s o_B Ilding Plan�+set of Energy Forms; ��� <br /> ( ( � I (1) R-O-W Permit for new constructlon, <br /> —Minimum te�r (:10)worki�r g dtiys after submitta date. R9qulred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitaiy,FaclllUes&1 d,limp��er,Site Work Rermit for subdivlslons/large.proJects � -� <br /> :OINMERCIAL Att�ich(3)complete setsr of I:! ilding Plarns plus a Life Safety Page;(1)set of Energy Forms. R-O-VV Pertnit for new construction. <br /> Mlnimum ton(10)workirig d�i's after submittal date, Requlred onsite,ConstrucUon Plans, Stormwater Plans w/Sllt Fence Installed, <br /> Sanitaiy Facilitles 8 1 d,hmp5 er,Site Work Permit for all new pro)ects,All commerclal requirements must meet compll�nce <br /> 31GM PERMIT Attaich(2)sets of Engin��ered Plans. ; <br /> """PROPERTY SURVF�Y ro uired for all NEW construcdon, <br /> �I7137I�]]7 I�! � <br /> )Ire�c2lone�: . � <br /> FIII out applicatlon completely, ; <br /> Ovmer&Contractor s�ign back of appllS;atior�I notarized ' <br /> II If ovF�r 52500,a Motice of CommencEimen�Is requlred. (�UC upgrades ovor 57500) <br /> '• Agent(for the contrac;tor)or Power of E�ttomI'ey(for the awnet)would be someone with notarized letter from owner authorizing same <br /> 7VEzF�THI:COUN7ER�EiRMITTING ;(Frorit of Applicatlon Only) <br /> �erc�ofs if shingles Saswers Servlce U grades A/C i Fences(PIoUSurvey/Footage) <br /> Drlveways-Not ovor i�ounter if on public ro dways.,neE�ds ROW <br /> I <br /> I i <br /> l <br />