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+ . � � .�.-- - -••-• -^ -rr..__.._.. <br /> , 8uilding Department <br /> Date Received -���.Y' ' Phone Gontact for Pormitting �� � � � �� �� � <br /> Owner's�lame l! c S �c:;.r�� ��t'1'�`e �a +Dwner.Rhone'h�umber '��- !� " OQ ��` <br /> �/ .r„ S��SI <br /> Ownor`s Address !V.. � }G 1 � �rzG+ n r Owner Pfione Number <br /> Fee Simple Titteholder Alame C� � � Owner Phone Plumber <br /> FeQ 8impls Titleholdsr Address <br /> 30B ADDRESS 'SC's � � �2:' r` �I s � 1- �����D �OT# � <br /> SUBDlV4S14N �_�� PAE4GEL!Q# <br /> (OSiA4MEp FROF�A PROPERTY TAX NOTtGE} <br /> WORi<PROPQSED ., NEw CON57R . � ADD/AL.T � 81GN Q (� DEMOL1SFl <br /> ', e IIVSTALL �'' REPAtFt <br /> I PR4POSED U5E 0 SFR Q COMM [�� O7HER <br /> � TYPE OF CdNSTRUCTIQN Q BLOCK - [� FRAME [—� S7EEL Q [�� �� <br /> � � <br /> DESCRlPTlON'OF WORK :-. ; `.t.t ' , .=' .�-,;� "• �f �i.,��d , ��- <br /> • �f-��..�G <br /> ' BUi1.dtPdG SiZE � � SQ FODTAGE ,S�� HElGHT <br /> .�, �BUILDING ��'f Q�� VALUA7(ON OF TOTAL COW57�tUCT10N <br /> V <br /> QELECTRICAL ($ � AMP SERVtCE Q E'ROGRESS ENERGY [� W.R.E.C, <br /> � �-- �����v <br /> �� <br /> �PLUMBING $ . � <br /> � QMEGHANICAL $ VALUATtON OF MECHANICAL INSTA�LATION � `� �— i <br /> �GAS � FtOQFING Q BPECiALTY � OTHER <br /> � ��� <br /> FINISHED.FL�OR ELEVATIONS ��-�-�� FLOOQ ZONE-AREA QYES NQ /���� r <br /> ` <br /> ti <br /> Bu��a�R � . �;�j,�.,/,�,t -�������coenPalVY � ..G �`��i�'a�oie �i <br /> S1GPlA7uRE . ��r��.,f!'f'/�G- � REGISTEREa �l%'1 N FEE CURREP Y�N <br /> Addross ; Llcense# � i�_� � <br /> --�'_'-` ;�,.r� <br /> EI.ECTRICIAN `�' � g1.i`� COfNPAtdY <br /> SlGI�lATURE `�� RE�t57ERED Y/ N FEE CUftREA Y(N <br /> J�'2-Si�j"� � <br /> �+ ddross _ r� Llcense# � �� <br /> � � ��. <br /> , Pl.UMBER � � COMPAtdY <br /> SIGNATURE REGISTEREO Y I Td � PEE CURRE� Y/N <br /> Addrass � � License# �CO J.$�35 � + <br /> .. � <br /> ����,�t�� � � ,z+ � " BCH Mechanical,Inc. <br /> .� CQMPANY • <br /> 3IGNAT.URE �-"�. REc3lsTeftED Y! N FEE CURREh Y J N <br /> Address 63 4 I18th Ave.N.,La�ego,�L 33773 �icense# �` � <br /> ?THER COIMPAtdY <br /> StGNA7URE REGISTERED Y/ P! FEE CURREI� Y./N <br /> Address LCcense# � ��� <br /> tESIDEIV7IAl. Aitaoh{2)Plot Plans;(2}s�ts�af Su!lding Ptans;(1)setof Energy Forms;R-O-W Permlt for new construction, <br /> Mtnimum ten,(10}work'sag:days af#er submittai.date. Requ(red:onsi#e,Canstruction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary F.acillEies.&1 dumpster,SEte Work Fermit tor subdivisionsJlarge;projects <br /> :OMNlERClAL Attacb(2�complete sei5 of Building Plans pius a Life Safefy Page;(1}set of Energy Forms.R-O-W Pertnit for new construclEon. <br /> Minlmum ten(10}working days after submitta(date. Required onslte,Constructlon Pfans.Stormwater Plans vvl Silt Fence instal4ed, <br /> 8anitary�acl!lttes&1 dumpster.Site Work.Permit for aii new projeets.A(t comm�rcial requirements must meet compUanoe <br /> z!�!d PER&!f7 Atiaah(2}seis of�ngineer�d Plans. <br /> '""`PROPERTY S2JRVEY reqnired far.a(i h1EW canstruction. <br /> �irectEons. <br /> Fi!!but applicatlon completely. <br /> bwner&Contractor sign;back of application„notarized <br /> !f over$2544,a Notice of Commancament is required. (A!C upgrados over 57500j <br /> Agent(for fhe cantractar}or Power of Attomey(for tfie owner}would be someone witfi notarized[skter from owner authorizing same <br /> VER THE CQUNTER PEEtIV!lTTINC (copy o#coniract requfrad) <br /> aroofs if shingles Sewers Senrlce Upgrades A/C Fences(PiotlSurveylFaatage}; <br /> Driveways-IVot over Counter(f an publfc roadways..needs FtOW <br />