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r � <br /> es�i�-itsu-wzu ; �iry or cepnymms rermit Hppucation rax-n�io•iau-w�i <br /> ! Building Department <br /> � i . PY� Tso:J <br /> Date Received - (s PFaone.Co.ntact for Permittin t - 1��o S <br /> � , <br /> Owner's Name ��e T ZAV,i SZ.q Owner Phone Number �13 -yZS - 43fo� <br />' Owner's Address 3$d�, 1 O�+ f��Z. Owner Phone Number <br /> Fee Simpie Titleholder Name �_ � Owner Phone Number <br /> Fee Simple Tftlehoider Address <br /> JOB ADDRES8 �Q' 2, I b �4� Z��h�Y�r��5 i-L 3 3•S'Y 2 LOT# 8- /� <br /> SUBDIYISION C+ 0'r Z i�+2�!�1i �S PAR�EL ID# �-26'�-� ' ()�1 `4' ' ��a�C��- �� � <br /> (OBTAINED FROM'PROPERTY TAX NOTiCE) <br /> WORK.PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e IN9�ALL E3 REPAIR <br /> PROPOSED.USE Q SFR �] COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLO�K Q FRAME C� STEEL Q <br /> DESCRIPTIONOFWORK �IP� i�Uc�NUGv� t.���TS se?.� r�2t �"LI(o(,,,�� �L128/� <br /> � <br /> BUILDING SIZE SQ FOOI'AGE�� HEIGHT <br /> ,-�BUILDINO $ � VAL'UATIUN OF TOTAL CONSTRUCTION <br /> � _y ,68� <br /> QELECTRICAL �� AMP i ERVICE Q PROGRESS ENERGY Q W.R,E.C. <br /> , , <br /> QPLUMBING � ��� / �� <br /> lo <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> QGAS Q IROOIFING �] SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> � ��� <br /> , �, -f-'� G �, �,e�. <br />' � � - f <br /> BUILDER � 1. MPAIVY �OLJ-6S l-JoM� Ce�T�2�' �- <br /> SIGNATURE , REGISTERED Y/ N' FEE CURRE� Y/ <br /> Address � �O� � ��I`1 ��J ��=�A��`' 3�"��� Llcense# �.roG �� � j <br /> , <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE i FtEGISTERED Y/ N FEE CURREA Y./N <br />' Address � License# � <br /> - � � <br /> � <br /> PLUMBER I �OMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � L(cense# �— <br /> � <br /> MECHANICAL I COMPAPIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � Llcense# <br /> , <br /> OTHER � COMPAPIY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> fi�tiiiii'Hithtiii-fii'Ftiii'F <br /> RESIDENTIAL Attach(2)Plot Plans;�(2�sets of Bulidfng Plans;(1)set of Energy Forms;R-0-W Permit for new construcUon,, <br /> Mfnimum ten(10)worfcir�g da�s after submittal date. Required onsite,ConsVucUon Plans,Stormwater Plans w/Silt Fence Instailed, <br /> Sanitary-F,adlltles-&1-d�mpster;_Site_Work Fermlt for subdivislons/large proJects <br /> COMMERCIAL Attach(3)complete set�of B�ilding Pians plus a Ufe Safety Page;(1)set of Energy Forms.—R=O=W-Perm�t�ar�errconstr�ctle�. -- --_ <br /> Minimum ten(10)workir�g days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Faciflties&1 d,�mpster.Site Work Permlt for all new pro)ects,All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engin ered Plans. <br /> ""'PROPERTY SURV�Y re uired for all NEW construcdon. - <br /> Dtrections: <br /> F(II out applicatfon completely. <br /> Owner&Contractor sign back of applic�:atlor�,notarized <br /> '. If over 52500,a Notice of CommencEl ment Is requlred. (AIC upgrades over 57500) <br /> Agent(for the contractor)or Power of f►ttom�ey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Fro�t of Application Only) <br /> Reroofs Ii shtngles Sewars Serv�ce U grades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubjic ro dways..neods RO.W � <br /> � <br /> I <br /> I <br />