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ts"ts-tt�U-uutv vyty v� t�'.e��y�..�,...� . ........... .�..y....,......._.. <br /> Building Department <br /> pate Received Phone Contact for Permitting - -- <br /> Owner's Name ��� i� �1'eS Owner Phone�lumber �S�"' ��� `"Z�'�� <br /> Clwner's Address� ���� ����b���"� �t�)�1���� {� �j� Owner Phone tVurnber�� � <br /> Fee Simpie Titleholdec Naene Owner Phane Ntsn79�er�� � <br /> � FeeSimple'fitleholderAddress <br /> aos auQR�ss� �2.3� 5'�{Ve,l' �d-��s `t7r . ' �.��r# �3. <br /> �u�o�u�s�o�u S�Ire.r l�ks �.Se .�.� ,�A�c��.�Q� 6�-Z�- �2�-- btZA —boz�z�-`,(l>13�, `, ' <br /> � `" .. "�� - (OBTAINED FROP#I PROPERTY TAX NOTlCE} <br /> WOFtFtPROPUSED � N�SW LONS7R e ��pA�R (�( �� IGNb��C] MOVE C] DEMOLISH <br /> -_—_ --- � �„ �- <br /> PROPOSED IDSE , Q SFR 0 CC1MM 0 OTHER - • �- ' <br /> TYPE OF COPl37RUCTIOt� 0 BLOCK Q �RAME Q STEEL � OTHER '' . . <br /> DESGFtIPT60�1,OF:iNt9[2FC. �CO�r' o-�-� a�� r�-'�"a� �� . ��'� 'ti{c,r-�fk� � �o , , <br /> I BUlLDI1�G SfZE � .SQ,F40TAGE HEtGFli' ' " � " <br /> Q BUILDING $ VAE.6IATlON OF TOTAL.GONSTRUCTIQN . , ,1 -. <br /> g��b3., b�?� __ � _ ___ _ _ _ -.., . . <br /> 0 ELECTRICAL ($ - � AMP SEI2VICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> Q PLUMBING ($ — � ��lii" I�/J ,� I � <br /> � 1 r �� <br /> Q MECHANICAL $ VALUA710N OF MECHANICAL INSTALLATION j � <br /> � GAS � ROOFING � SPECIALTY � OTHER , <br /> �� R <br /> FINISHED FLQOR ELEVATIONS � � FL.C30D zC}NE AREA QYES [�NO , <br /> I , . , <br /> B!�lLDER C�fVlPAA7Y <br /> SlGNATiPRE REGIS'i'ERED Y J N �FEE CURF2ENT � Y J�V <br /> Address Licanse#, �� ' � <br /> ELECYR6C1AiV COlNPAt+lY � <br /> SIG{VATU�2E REGI57EREB Y I N FEE GURt2ENP Y I N <br /> Address • lacense# �� � <br /> Pi.UMBER COMPANY <br /> SI6NA�'OJRE ' REGISTERED Y I N FEE CURRENT Y J N <br /> Address License# �� � <br /> IVIECFQANICAL COMPAPIIf � <br /> SI�NATtDi�E Res�s�r��zeo Y! i� FEE Gl1RRENT Y I N <br /> Address � License# • �� ! <br /> I OTHER.; �.,COMPAhiV �h'ZO� �b��n' � �: , ' ' <br /> $1Gg1ATH3RE' REGIS7ER�D Y C�I FEEGURREN7 Y 1�! � <br /> Address 3�0�� 3 5 fZ Sy �~'► �'�+�(15 '�Z- 3 3�J�� :'License# ���3�.:S.�C�'� � <br /> RESIDENTIAL At#ach(2)Plot Plans;(2)sets of Building Plans;(1)se�af Energy Forms;R-O-W Permit for new construcUon, " - <br /> Minimum ten(10}working days affer submi#ta!date. f2equired onsite,Canstruction PEans,Statmwater Plans wi Siit Fence Instaifed; <br /> Sanitary Faciiities&1 dumpster;Site Work Permik for subdivlsions/large projects � <br /> COfNMEi2CIAL Attach(3)sets of�Building Plans;(1)set af Energy Forms.R-Q-W Permit for new construction. <br /> Minimum ten{1 d)working days after submi#tat date. Required onsite,Construction PCans,Stormwater Plans w!SiSk Fence tnstai(ed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ail commerciai requirements must meet compliance <br /> �IGN PERMI7 Attach(2)sets of Engineered Plans. • <br /> **""P320PERTY BURVEY requ"sred for alE NEW aanstrucEion. . , - ' <br /> I]irectlans: � <br /> Fiit out apptication cornpletety. � <br /> Owner&Contractor sign back of application,notarized <br />, If aver$25U0,a Notice of Commencement is required. (�4/C upgrades over$5000) <br /> i *" P,gent(for the contractor)or Power aF Attorney{far the owner}wauld be someone with nofarized le#ter from owner authorizing same <br /> 'OVER TNE COUNTEF2 i�ERiVl17'fING {Front of Application Only) � � - , <br /> Reroofs SevJers , �`; Seivice�Upgrades -AlG Fences{PIo�lSurveylFoatage} F� , - " <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />