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u�io-�au-uuzu c;iry or�epnymnis r;ermit Hppncation rax-a io-iau-uu�i <br /> Buflding Department <br /> ,, � vit <br /> Date�tecelved plyone Contact tor Permittin � 13 Z.� -- G' �5 <br /> Owner's Name F t �eNC.. �.1�N Owner Phone Number ��3 ° �s$'�1 C'`l <br /> � <br /> I �L ' <br /> Owne�'s Address �y�� ��j,�i ST 'i��{% l�i 1/��5i12 Owner Phone Number <br /> Fee Simple Titleholder Name ___�__J� � Owner Phone Number <br /> � I <br /> Fee S(mple Titleholder Address <br /> � � <br /> JOB ADDRESS �(� j� �� S T LOT# � <br /> SUBDIVI310N O� �2. �+.2. i 1��, PARCEL ID# �-26-21-O C7 �� - 1 Y 5 O C> -'C`��C7 Q <br /> (OBTAINED FROM PROPERTY TAX N0TI6E) <br /> WORK.PROPOSED NEW IC�NS7R ADD/ALT I 51GN <br /> B INSTIALL Ej REPAIR i 0 0 DEMOLISW <br /> PROPOSED.USE Q SFR �� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLO_ K �] FRAME ��� STEEL Q <br /> DESCRIPTION OF WORK �-�S Irt� �7 j O'� � �/�i 5�i �+��N L+�N� FeNC2 �v,`�+ l 'y' 6 r�7t <br /> BUILDING SIZE SQ FOOI'A(3E� HEIGHT <br /> QBUILDINO $ � �� ��� VALUATION OF TIOTAL CONSTRUCTION <br /> i� � <br /> QELECTRICAL �i AMP i ERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> OPLUMBINO $ I � ,l� <br /> ! �/ `b <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION b' <br /> �� <br /> QGAS Q ROOFING �] SPECIALTY Q OTHER <br /> � I <br /> FINISHED FLOOR ELEVATIONS �I FLOOD ZONE AREA QYES NO <br /> i �• 2P G Ck�.E �.�� <br /> I <br /> � /�� / <br /> BUILDER ' 1n„` r� COMPAfVY l.oi�-8S l-�cM�, CgNT�l�3' - L-C. <br /> SIGNATURE � r I I<rt REGISTE�ED Y/ N FEE CURRE� /Y <br /> Address O Q� K � � �� �=�A���y 3�-��� Llcense# �..�oG ( J� ��l �� <br /> � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE •I REGISTERED Y/ N FEE CURREA Y/N <br /> I <br /> Address � � Llcense# <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N <br /> I i � <br /> Address � I I i License# <br /> MECHANICAL, <br /> COMPAPIY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N <br /> � I <br /> Address I � � Ucense# � , <br /> OTHER COMPANY <br /> SIGNATURE f2EGISTERED Y/ N FEE CURRE� Y/N <br /> i <br />- Address I � Llcense# � <br /> �—"I'--'ii+fiitttt - <br /> RESIDENTIAL Attach(2)Plot Plans;(2�setsl of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon, <br /> Minlmum ten(10)workir�g da s after submittal date. Required onsite,ConsVucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> ___- ___Sanftary_:FaclllUes 8 1�dumps er,Site_INork Fermit for subdivlslons/large_proJects—______ ____ <br /> COMMERCIAI Attach(3)wmplete set�of B ilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permft for new construction. <br /> Minimum ten(10)workir g da s after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Facilities 8 1 d�mps�er.Site Work Permft for all new proJects,All commercial requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of EnginE�ered Plans. <br /> "'"PROPERTY SURV�Y re uired for all NEW construcdon. <br /> Directtons: �, <br /> FIII out application completely. �� � . <br /> Ovmer&Contractor sign back of appliS.ation,notarized� i � ' <br /> Ii over SZ500,a Notice of Commenc4iment is requlred:'. '�AIC upgrades over 57500) - ---° -�; � , � .� � <br /> •• Agent(for the contractor)or Power of{��ttomiey`(for-the awner)would be someone with notarized letter-from owner.authorizing same�. ;7,�. <br /> OVER THE COUNTER�PERMI7TING " (Frontpf.Application Only) ' - - , � ' <br /> Reroofs If shln les Sewers'� ' � „Servi ce l7 rades•A/C. Fences PIoUSurve /Footage) ' � "` ` � , <br /> 9 � � , , 9 � � y '' u.. . , �' _ � <br /> : . , ' • . :,;. . <br /> Driveways-Not over'Counte�ff_on.pub ic�ro dways.•.neods�RO.W t�' =�°�°�- --- •�•- .,-�. ,,..� ..__ w: '_ _ <br /> � <br /> I <br />