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( ts'is-�ou-uu�� c;iry ar�epnymnis rermit Hppucation ..�6�07'"` '�'ax-o'i3-�ov-uvr� <br /> � � 8uilding Department <br /> ' � m c1,-��c.A <br /> ; pate Recelved - � t..{/�"/ p�flne.Contact for Permittin . � ! 3 2!o�t _ ��'1�� <br /> q�g����Q RO �J 2./Z� �r C�A e� S Owner Phone Number ���+ " S 7 "��`f�'a <br /> Owner's Address b`✓�"'/y ��+'��t C,� Owner Phane Number � I <br /> Fee Simple TltMeholder Name � � Owner Phone Number � � <br /> Fee Simple Titleholder Address �' <br /> JOB ADDRESS �05" �� k � ZePI��/��� ��5 �C �35"��/2 LOT# �� <br /> SUBDIVISION 1/12-+�W p� �-�`� s PARCEi,tD# Q 2-�b-�t -tS2-1�t -ao)a - Q j <br /> , Ga���� (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> WORK:PROFGt3ED NEW CONSTtt. ADD/R!T � SIGN Q Q DEMOl.ISH <br /> e - INSTALL � REPAIR <br /> PROP{?SED.I3SE _ SFR Q COMM [� OTNEi2 <br /> 'TYPE QF CONSTRUCTION .� BI.00K - Q FRAME � Q STEEL Q <br /> DESCRIPTION OF WORK �P��f-1 C2 1 N� (✓l f � � S �2.� L � ��T� <br /> ; <br /> BUILDtNG SIZE � SQ FOOTAGE NE1GH7 �µi� <br /> Utl.DiNG $ ���,�a,,� VALUATION OF TOTAL CONSTRUCTION <br /> ElECTRICA� � ��[ AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> J { <br /> OPLUMBIT�iG $ � �}'� ; �1 <br /> � �� v� T � � <br /> C]MECHAMCAL $ �'F VALUATlON OF MECHANICAL INSTALtATtON ��..-1 �� �� <br /> � G�� <br /> i <br /> [�GAS Q ROOFING SPEClALTY` S <br /> C� O OTF#ER �. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ��°�'����` <br /> �" £�.P �. C�7G'-�i ]rr�''� <br /> BUILDEit � � C MFANY G.CJr.�-eS �or+�, L6ra`��lc'.� � r`1:.�- <br /> SIGNA7URE ��` REGISTERED Y/ N FEE CURRE� ~�Y�/ <br /> Address O �q K O ��' �-�A���" ��"��`� License# ��ra�. � S�(� �3 �� <br /> ELECTRIClAtV COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address License# �- � <br /> PLtlMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECNANICAt,• COMPAMf <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address ����� ����.� L;cense# �� � <br /> OTHfiEt COMPANY <br /> SIGNATURE � REGISTEREp Y/ N FEE CURRE� Y I N <br /> Address ' LEcense# �� � <br /> RESfDENTiAl, Attach(2)Plat Plans;(2}sets af BuHdtng Plans;{1)set of Energy Farms;R-O-W Permit for new construction, <br /> M(nimum ten(10)-working days after submittat date. Required onsite,Constructlon Ptans,Stonnwater Plans w!Sitt Fence instaiied, <br /> Sanitary FadllUes&1 dumpster,Site 1Norfc Permit for subdiv;sionsAarge proJects <br /> C�MMERCIAI. Attach{3}comptet�t sets of Buitding Plans plus a Life Safe#y Par�e;('E)set of Energy Forms.IZ-O-W Permlt.for_new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstruaUon Plans,Stormwater Plans w/Sitt Fence lnstalled, <br /> Sanitary FacIltt(es&1 dumpster.Site Work Perrnit for all new projects.AU commercial requirements must meet compNance <br /> SiGN PERMIT Attach(2}sets of Enginaered Plans. <br /> """PROPERTY SURVEY required for all NEW canstrucdon. <br /> Direatians: <br /> Fql out application comple#ely. <br /> Owner&Contractor sfgn back of appitcat9on,notarized <br /> if over 52500,a Notice of Commencement fis required; (A!C upg�ades over 57500} <br /> '" Agent{for the contractor)or Powe�of Attomey(for�the awner):would.�be`someone with notarixed letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING ` (Front of Appli�eation Only)..• ,..`; , <br /> Reroofs if shingles Sewers � Service'Upgrades, A/C.�- 'Fences'(PIoUSurvey/Foatage) <br /> . . � - . �t, ._ . _ ..3._ . r,.N,,.,� . <br /> Drlveways-Not aver Counter if on�public toadways..needs.RO.W <br />