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�8�3'(SU-UU'LU l�R�/ UI Lr..�.Jl�y��I�uo � a..�nua�.f.prue........�. I <br /> , Building Department <br /> r <br /> DaEe Received — — � pnQne Gontact far Permittiag ��� ��� -- ��'"�'� ; <br /> owner's Hame � YYYS'+'"� CUr"►5"�'�G�'►�- � ..��-' Owner Phone Number � �L�?- -''��`� 'I <br /> 34��1�3 52 5�1 f <br /> Owner's Address Owner Phone Nutnber�— �'; <br /> , :;. <br /> . . i <br /> Fee Simple Titlehalder Name Qwner Phone Number�^ �� <br /> Fee 5imple TitleholderAddress <br /> JOB AD�RESS (o��S �c�s s vv�� C�rC,�e_ �o�# . �� ' ' <br /> suac�iv�s�at� ���=�k�wU�c�. 3��1 � � � ;�ARe��:�o� �Z`�'2 t' c�?�a—G�c~.,c�--.CU�L>v � <br /> ' (OBTpINED FROM PRQPERTY TAX NOTICE) <br /> WOi2K PROi'OSED � NEW CC}NSTR e ADD/A!T Q 51GN � MOVE Q [}EM{3LISH <br /> � � � ` INSTALL F2EPAIR <br /> Pl30PQSED tISE 8FR 0 C4NlM 0 �OTHER �� • ' <br /> TYPE OF GONSTRUCTION BLOCK Q FRAME Q STEEL Q QTHER • � <br /> DESCRIPi'ION OF;WORK�; �*s''''�'`s��--�r"�-�{ ei t i �S : . . <br /> ,, . <br /> . �-� . <br /> BUILDING SlZE ��_� SQ FC►i3TAGE: 1-1E(GHT ` " <br /> Q Bt1lLDING ��"') ��� + �� � ti/Al.t.JATiQN OF TC7TAL GONSTRUGTION � '1 <br /> G... <br /> Q EGEGTFtICAL $ AMP SEF2VICE Q PROGRESS EIUERGY [� W.R-E.G. � <br /> Q Pl.UMBING ($ � <br /> � ���jgz- <br /> Q MECHANleAL $ VAL.UATtQN OF MEGNANICAL IIVSTALlAT{QN � <br /> i <br /> 0 GAS Q ROOFING � SPEGIRLTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES QNO , <br /> BllILpEE3_ ._._ . : - - -- - CONlPANY , f�� l�St7'�(�"t bY2 i �.�l�C... � <br /> SIGNATURE REGISTEREp N . FEE CURREN7 � Y N <br /> Address �J�``�t'� c5�- `'J�`'� � Z�}"}��h t i{s� �„ J3`�J�1 L.Ecense# .C S 1`�'�!'7� _ <br /> ELECTF2[GtAN COMPANY ��{� � �l��'��% <br /> SIGNATURE REGISTEREQ Y/ N ��FEE CURRENT Y/N <br /> Acfdress l.icense#` � � <br /> PLllMBER CQMPANY ��, �t t� �4 t�;b i n , ' <br /> SIGNATURE � REGISTeRED Y/ N FEE CURREN7 Y/N <br /> Address L.laense# � • • � <br /> MECfiANtCAL GL?MPANY - <br /> StGNATURE REGISTERED Y J N FEE GURRENT Y 1 N <br /> Addrass � - License# � . � <br /> OTHER GOMPANY - � <br /> St6NATURE'� _ REGfSTEREp Y/ IV FEE CURRENT Y I N <br /> Acldress `'Ltcense# �— � <br /> RESIDENTIAL Attaoh(2}Plat Plans;{2}sets of Buiiding Plans;{1)set of Energy Forms;R-O-W Permit for new construction, � � - <br /> M[nimum ten(10}warking days after submitfai date. Required onsite,Construc#ion Pians,5tormwafer P{ans w!Sitt Fence insfatl.ed; <br /> Sanitary Facilities&1 dumps#er;Site Vllork Permit for subdivisions/large projects , <br /> GOMMERCIAI AEtach(3}sets of�Suilding Pians;(9)set of Energy�orms.R-O-W.Permit for new canstruction. <br /> Minimum fen('i0)working iiays after submit#al dafe. Required onsite,Construcfion Pians,Starmwafer Plans.wJ 5iit Fence instalted, <br /> Sanitary Facilities&1 dumpster.Sike Work Permit for all new projects.All commeraial requiremenks must ineet compliance� � <br /> StGN PERMIT Attach(2}sets of Engineered Pians. , , ' � <br />, "'*PROPER'i'Y SURVEY required far ali NEW cons#roc#ion. . <br /> Directions: ' <br /> Filt out application comptetety. � ' ' <br /> Owner&Contractor sign back of application,notarized <br /> !f aver$2540,a Notice of Commencement is required. (A!C upgrades over$5000} <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone vuikh notarized letter from owner authorizing same� <br /> i 'OVER THE COUN7ER PERMI7'TING {Front af Rpptication flnEy) <br /> Reroofs =Sewers�- ''° Service Flpgrades-.�•:� .R/C Fences(PIoUBurveyJFootage) - . ._. <br /> , .:.,; , , . <br /> Driveways-Not aver Gounfer if an pubtic roadways..needs ROW -�� <br />� � � ' . <br />