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—� <br /> Building Department � <br /> �GA <br /> Date Recei�ed � Phone.Contact f.or Permittin / "Z. -4Y65 <br /> Owner's Name C C Owner Phone Numba 7 -2 -� <br /> Owner's Address b �7� Owner Phone Numbe <br /> Fee Simple Titleholder Name Ow�er Phone Numbe <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS 3�0 �-3 '�J� � 2.2.P�Qy�►��lS F�. 3 3 � LOT# � <br /> SUBDNISION G��1 e� �PhRY��/IS PArRCEL ID# 2"2�+r�-�' - OI O - �/ O <br /> � (OBTAINEb FROM PR PERTY TAX NOTIGE) <br /> WORK.PROP0.3ED New coNSTR ADD/ALT [� SIGN � 0 DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED.U3E Q. SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �-DESCRIPTION OF WORK TI�ST/�// �l�l� O�f' � f�r� p�1i'uo� f�A�iu L�r�t F•eNC wi7� I - �� <br /> �o�,y�e. 6�,-re <br />- BUILDIN(3 SIZE SQ FOOTA(3E� HEIGHT <br /> �7 BUILDING $ ��2 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROG ESS ENERGY Q W.R.E.C. <br /> [�PLUMBINO $ • ���� ` <br /> � <br /> �]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G C���.1 �..'Z'� <br /> BUILDER � COMPANY _L_ow�es' tdoMe, �eNT�2s � �l L <br /> SIGNATURE -� REGISTERED Y/ N FE CURRE� Y/N <br /> Address � Q�� � $ ��J ��A��'' 3�"��� Llcens # ��oG .S� � � <br /> ELECTRICIAN ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FE CURRE� Y/N <br /> Address Licens # <br />' PLUMBER COMPANY <br /> SIGNATURE � � REGISTERED Y/ N FE CURRE� Y/N <br /> Addresa Licens # <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FE CURRE� Y/N <br /> Address Licens # � <br /> OTHER COMPANY <br /> 31GNA7URE REGISTERED Y/ N FE CURRE� Y/N <br /> Address Licens # <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permtt for ew constructlon, <br /> MlnimuM ten(10)workfng days after submittal date. Requlred onsite,ConstrucUon Plans, tormwater Plans w/Sfit Fence installed, <br /> Sanitary:-Facilitles&1 dumpster;Site Work Permit�for subdivislons/large-pro)ects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten_(1�working days after submittal date:Required onsite Construction Plans,�tormwater Plans.wJ 811t_Eence_Ins!alled,____�_�- <br />' - — �-- - " ----San(tary-FacfUNes 8 Tdu�npsfsr.Site Wo�lc Permit!for all new proJecf"s.All commercial requi ements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> FIII out appllcation completely. <br /> Owner&Contractor sign back of application,notarized <br /> - If over 52500,a Notice of Commencement Is requlred. (AIC upgrades over 57500) <br /> I '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fro owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only)_ , - <br /> Reroofs if shingles Sewers Service�Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter If on public roadways..needs:ROW , , ' <br />