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tfld-tou-uvcv vny v� c�..ct,�.y��,...., . .,,...... .I,�.............. <br /> Building Department <br /> Date Received i Phone Contact for Permitting <br /> Owner°s Neme �Vanbv(�-i'I -�1�G�5�7/Y'�– �lwner Phone M1tumber <br /> Owner`s Address. + ��'1`'��'� �� ���� f3wner Phone Nuen6�er ���— ��Z l �g 3� <br /> Fee SimpPe Tifleholder Name Owner Fhone Nu�iber <br /> Fee Simple Yifleholder�ddress ' . <br /> JOS ADDi�ESS• ���.2-� �' �� r �Ph �"i�s , �- 3 35�k2 LOT## S''� <br /> sus�iv�sto�v Suns��' �S'{Z�--�-GS d�Z PAR�EL;ID#. IZ'Z�- 2.t- b 3�a,- bcY.� - �b 5'1u . <br /> � " "' `� {OBTAlNED FROM PRt7PERTY TAX NOTtCE) <br /> WOR4t Pf20POSEID� � NEW CONSTR e ADDlALT Q SIGiV � MOVE �] DEMOLISH <br /> �`�` '"' ""' IiVSTAl.L F2EPAlR <br /> .r�"' �c-r�' � <br /> PROPOSED US� , [� SFR � COMM Q OTHER � " ' <br /> i TYPE�F CONSTi2UCT10N � BLOCK Q FRAME � STEEL Q OTHEF2 . <br /> � o�sc��eitot�oF.war�x, I er� c�-�'�' -�` �e_ �'ob-�- Z�l s .�k� -k��- ' Sh�� !e� - ' - - <br /> eu��o�nt�sEZ� .:sct.�o�rA�E . �ei�t�r ' . � , � � � � <br /> [� SWLDlNG �{-� . � � ,; � VAI�UATIOR!OF.TtOTAL CONSI'FtUCTIC?N-, � , � � <br /> i Z.�lt,o.-- <br /> Q ELECTRICAL � � AMP SERVICE Q F'ROGRESS ENERGY [� W.R.E.C. <br /> � PLUMBING � $ ���0� �• <br /> � �� . <br /> [�] MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' <br /> Q GAS Q ROOFING � SPECIALTY Q OTHER , • <br /> FtNtSHED FLOOR ELEVATIONS � �) FLOCtD ZONE AREA DYES Qt�O , <br /> � <br /> SUILDEEt C�MPAMY <br /> StGNATU$2E REGt5TEt2ED Y I it1 FEE CURRENT Y l�N <br /> Address , t,icense# �- ' ' � <br /> ELECTEi1C1AM COMPAlVY <br /> 8lGNA7�lRE REGlSTEFtED Y C EI �FEE CURRENT' , � Y I RI <br /> Address � L.icanse# � �- � <br /> P!»UMBE12 COMPANY � � � <br /> §I.t".yNATd112E REGtSTERED Y I �11. FEE CURRENT Y/�I <br /> Ac�d�ess �icense# �- � � <br /> NlECFIANICAL COMPANY • � <br /> SIGNATURE RE�is3EREfl Y J N ��E CUt�RENT Y J N <br /> Address � - License# �� � � <br /> OTHER :COMPAhlY �- YY1.Cr�y� , 1u�-�i R �G • , � , <br /> SI.�'.'rNA�lJF2E" �REGISTEF2FZD I �V FEE CURR�NT' I N <br /> Ac�dress �J la�l r✓ 5if2a '�� h rh�ll s � �35�-I'I ':'�icense# ���=•lr3 Z:45.�C.�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;i2-O-W Permit for new construction, <br /> Minimum ten{10}working days after submittat date. Required onslte,'GonsErucBon Plans,Stormwater Plans wl Sitt Fence iristatled, <br /> Sanikary Facilities�&1 dumpster;Site VVo�k Permit for subdivisions/farge pro}ects <br /> CONiMERC1AL Attach(3)sets of�Building Plans;(1)set of Energy Forms.R-O-W.Permik for new construction. � <br /> tvtinimum ten{10}working days after submittal date. Required onsite,Gonstrucfiaa Ptaris,Sformwater Pians wl Silt Fence insta!led, <br /> Sanitary Facilities&1 dumpster.Sike Wark Permit for all new pro}ects.Ali commercial requirements must meet compliance' � ` <br /> SIGN PERMIT Attech(2)sets of Engineered Plans. <br /> ""*PROPERTY SURVEY cequired for all NEVht construction. . , ' <br /> Directions: � <br /> Ftl out appl'scafion campletely. <br /> Owner 8 Cantractor sign back of application,notarized <br /> !f over$2500,a Notice of Commencemer�t is requ7red, (AIC upgrades over$5000) <br /> ''' Agent(for the contractor}or Power ot Aftomey{for the owner)woutd be sameone wifh nofarized letter from awner au#hocizing same <br /> 'OVER THE COUNTER pERMITTING (Front of Applioation Only) <br /> Recoofs Sewers Setvice Upgrades AlG Fences{PIotlSurveylFoatage} <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br />