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�,�-rso-ooa.o City ot�ephyrttitts Permit,�pp�icai�on ra}c-�,s-rov-uUL,
<br /> ' Building Department
<br /> �.
<br /> Date Receiyed ; ,��' ---C - ,phone Cantaat.for Permltting
<br /> Owner's tdame 1 C;f�l'�jZ c L4�L�"�� Owner Phone Nu er , C"„�--:��.�-� �c"`
<br /> Owner's Address �I� . Own�r Phane Number `
<br /> Fee Simpls;Titlehatder Name �JG Ri� �l 1 ,j �,;,� j,,� OwnerPtione Number � �
<br /> Fee Simple�Titlefiotdar Addcess ��"..� v-,-r._�1�
<br /> �
<br /> JOB ADDRESS ���� * —F-�'y`-'�.—� LOT# ,�»�
<br /> L,�'/h�R-b!� 1"�a/n%T'"G„
<br /> SUBOIYlS10N 2 v f��"s'a,�`7' � FARCEL ID#:
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK RROPd?SED ; HEw CON5TR ADD/,4LT 0 SlGN (� � �� DEMOLiSH
<br /> e INSTALI. � �REFAIR
<br /> ' PROP..OSED USE �, SFR Q COMM 0 OTHE12
<br /> TYPE'.OF CONSTFttlGTION Q BLOCK � FRAME Q. STEEL Q. ,
<br /> ,. ' a+
<br /> DESCRIPTtOF1OFWt}RK t2���tc,� 2-l=t2z-���vvau�5 �' ?2t�'rTIC L3t?t� t.L•�"— G�Q
<br /> ; ...
<br /> BUtLDtNG�$IZE ���X� �Z� � SQ'FOOTAGE ZZ.+G3 � FIEIGHi' •- G� ��
<br /> �
<br /> �B{UlLDING $ ,���� VALUATIOEI'OF TOTAE.C4NSTRl1GTiON
<br /> ;
<br /> �ELECTRICAL $ ���, � � � AMP SERVlCE Q PROGRESS ENERGY C] W.R.E.C.
<br /> QP;LUMBING $ � �l V l�
<br /> �(!�'1�'�'� `� �
<br /> QNIECFiANICAL $ • VALUATION OF MECHANICAL INSTALLATION
<br /> ; y��L � � �
<br /> QGA�u Q ROOFING- [,� SPECIAI.TY �� OTHER C���Z�
<br /> FtNISNED FLOOR E�EVATIONS FLOOD ZONE AREA QYES ��
<br /> ..su��a�� ; �,/ ���' con�P�rax � /��`:��Cc�+t��'v�
<br /> StGNATURE �'��`t c' REGISTERELl Y'1 N� ' FEE CURREt� Y/N
<br /> Address a _ �License-# �� (
<br /> _;- .. . ,
<br /> , ELECTEt(GIAN ,_ COMPATdY . " ,
<br /> � SIGNATURE REGISTEREd Y 1 N �FEE'CURREM1 : Y I N.
<br /> � lidtfrBSs ' - , E.tG8tIS6# � � �
<br /> F ��� •
<br /> P.LtJMBEtt.� . . COMPAi�!!Y-• � -
<br /> S(GNATURE j� '� REGISTERED Y I'iV.: : . PEECURRE� � YJ N •
<br /> i
<br /> /�t�Clf@SS , - �1C$liS��,:�- � �
<br /> MECIi�111+ttCAt:�. . , COMP%�AIX
<br /> '' SiGNA7URE'•' ' � REGISTERED , Y i N Fe�cu2�En Y f N _
<br /> Aildre'ss-�� � .. - � License.#-,� �-
<br /> ?'li� ��5,' n , .. . . �
<br /> .,OTH�Ru _ . ,. _ � .'COMPAEtY � ..
<br /> ��'''$iGNATURE:�=;::t=: , � REGISTEREQ Y I.N FEE CURREK Y I N
<br /> , Actdres�.-�,, f _ �.�. .:�;�. ::N�r<<.,J , . �� `Y ��� Licetise•# � �
<br /> � ��-:�K,�<r.:-'. . . •
<br /> :R�SiD�t�TiA1.:;�- `,Att�ch�{2}�Plot�Plans;"�2)<sefs�of�Buildirig�Pians,(3=)�set of�Eneigy;Eorriis;;R=Q-VV Petmit�,for.nevv.constfuc6on,�
<br /> �" , ��.=:x:•,.,:.���-.-�Minimum�;ten�(;i0);w,o.rking';iiays.after�:satSrriittal:8ate.:�Required'onsite;'GbnstrucUbn`Pians;Stormwater Plan"s uvl Sitt Fence installed,
<br /> � ���.
<br /> •.. . ,,.„,f.:. ..,,,... -�., . • -
<br /> �.z. - - - �
<br /> 'N,:.v"'
<br /> �.,i,�;.,_;.n Sanita`ryjFactlities&�1+,dumpster,,SifeiWor,k:Rermlk_forsubdivisions/large':proJecfs. '•';'�:� �„ �. , _ ._ _ �-
<br /> �',;,COMNIERCIAi. Attach'�2}�corriplet�'sets of`Bu1liling�Pfaris plu's a'I.tfe Safety Page;(1}set af Energy Forms.R-O-Vif Permit for new constsvctiah.
<br /> Minimum ten(10)working days after submittal date. Required ansite,Canstrucfion Ptans,Stormwater Pians w/Silt Fence insta{led,
<br /> �j^�~- Sanitary Facilides&'1 dumpster.Site Work Permit fo�•all new-p'rojects.All commercial requirements must meet com.pliande
<br /> -�,�5#:GN�PERNttT Attac�i-{2`j`sets:of;Eogirieei:erf�Plans:=it.r= : , . ,
<br /> �:.
<br /> "``� '"""PROFERTY SURVEY re uire,d„for,.a11,NEW.,c�anstruction:....
<br /> �be',':�
<br /> �"'�}' ' _ ' ' . .
<br /> S:iVi�SCiiM.�S� . ::Fi^ r'i.�'t h .
<br /> "��-� F'lll�out:application completely.�:~Y
<br /> :: Owner'8�'Contractar.sign:tiack of applicatlon,notarized
<br /> If�ovec`$2500;.a 1Votice.of:Gammencement Is�equired. {AtC upgrades over$7�00} �
<br /> n�"°"� A enY for°the�con#ractoe�or°Power of�Attome for'the owner would tie someone with notarized letter ftom owmer autharizin same
<br /> 9 � ) Y� ) g
<br /> :',,�.�.;',. �
<br /> `�i.'t3'V.,ER`.'1'HE�CptlFlTEft:PEE2MlTFtNG.. . .{caPX-of,cantract:requlrecl} „�".°" ,, - - ', :-
<br /> "�'Reroofs if shingles �'Sewers Servlce Upgrades i4/C,` Rences(PIoUSurvey/Foatage) � " _
<br /> � _ w_ __......_......_.__._. .,. ........_ ' , ' � , „ - , , . , ,.�
<br /> .. f��:,..�,<.�,•:. ... , . .
<br /> "' D�tveways-FVot auer Gounter if on public'faaiiways.:needs R01N � - R
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