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r Bulid�ng Department � <br /> . I <br /> Date Recelved � { _ <br /> ' Phone.Contact[or Permittin� 2 <br /> Owner's Name T � 1 t S�"'��`y���1 � Qwne Phone Number '�l 3 ^ 7��^ �`� ta <br /> _.. <br /> Owner's Address ���� �A���'�-Sf {rt�G}'� Owne Phone Number � �� <br /> g � Owne�Phane Number <br /> Fee BimpEe Tlttehaider Nam �� <br /> Fee 83mple Ti#Eeholder Address 1 �� <br /> , <br /> JOBAQDRESS �Gt�t3 ��k.�-R� ta3GY Zef'h�.rhi tIS �L 3355� �o�r# ��� <br /> � � <br /> SUBDlVEStON �r4� C�.2_� ��7'}'�� PARCEL ID# @2,-��`r�la23E� -dtJG`74�'"���Q �� <br /> {O�TAtNED FROM PROPERTY TAX NO'EICE) ' <br /> 1MORK PROPOSED e NEW CONSTR 8 ADD/AL7 � Sl N � Q DEMOLISh� <br /> INSTA�[. REPAIF? <br /> PROPOSED USE Q SFR L] COMM [� O'HER � <br /> TYPE QF CONSTRUCTION Q BLOCfC � FRAME � S1'EE� Q �— � <br /> DESCRtPT10N flF WORK I ` jT �f�2_1 S j �� <br /> �� f`t�l,� <br /> BUILDlNG SlZE �—� SQ FOtJTAGE H IEIGtiT �� <br /> �3:1 <br /> BUI�DING $ ,����s VAf.UATlON OF TpTAL CQNS RUGTION <br /> � �a� <br /> DELECTRICAL ($ � AMP 5ERVICE � PROGRESS ENERGY Q VV.R.E.C. <br /> �__._ <br /> �PLUMBING � � <br /> �]MECHANICAL $ VAL.UATION OF MECHANICAL NS7ALLA710N �� ` �� <br /> . � <br /> [�GAS t Q ROOFING [� SPECIALTY �� O HER <br /> FtN1SHED FLOOR ELEVATIONS � —� , FLOOO ZONE AREA QYES NO <br /> +rt�ttti <br /> $u��.Q�� ��� COMPNY - `�, o�e Ce�7,cR.s C.G�� <br /> SIGNATURE ���� n1��,s^•► REGISTERED � Y/ N ~ FEE CURRE� Y/N <br /> Address !.(cense# ( C,,,Fr�. J'�`�3'�� (""'T I <br /> ELEC7RICfAN COMPANY 4� <br /> SfGNATURE REG�STERED Y/ N fEE CURRE� Y/N <br /> Address � t�icense# � �� <br /> PLUMBER i � COMPANY _� <br /> SiGNATURE REGtSTERED Y/ N � FEE CURRE� Y J IV <br /> Address �icense# � �_� <br /> MECHANlCAL COMPANY _� <br /> SIGNATl3RE _� REGisreREp ! N FEE CURRE� Y I N <br /> Address � ' �icense# � �� <br /> OTHER CONlPANY { _� <br /> SIGNATURE REt31STEREO Y J N FEE CURRER Y I N <br /> Adclress �Icense# � �� <br /> +Ffiiiiii <br /> RESIbENTlAL Attach(2)Plot Plans;(2)sets of Buildtng Plans;i(1)set of Energy Porms,R O-VU Permit for new construeUon, <br /> Minimum ten{10}war}cing days after submitta!date. Requlred onsi#e,Con tructton F'lans,Stormwater Plans w!SIlt Fenoe instatied, <br /> __. � _Sanitarv Facillties&1 dumpster;.Site_Work I�ermittor_subdivi�lens/large pr�Jects__._ _ _J _ <br /> GOMMERCiAL Attach(3}compiete sets of Buftding Pians pius a Lffe 8afety Page;(1)set Qf Energy Forms.ft-O-W Permft fat nea+r constnictlon.� <br /> Minimum ten(10}worktng days after submittal date. Required onsite,Cons�truction Plans,Stormwater Pians w!Siit Fence installed, <br /> 8anftary Facilitles&1 dumpster.Site Worli Permft for all new projects.All commercial requirements must meet compUana� <br /> SIGN PERMIT Attact}{2)sets of Engineered Ptans. <br /> •""*PROPERTY SURVEY required for ali NE1hl.constructlon. <br /> � <br /> Directlons: <br /> F(II out application completely. <br /> Owner&Contractor sign back of application,notar(zed <br /> !f over 52500,a Notice af Commencer»ent is requfred. {A!C upgrades over$7500} . <br /> "' Agent(for the cantractor)or Power of Attomey(for the ownerj would be someone w(kh not arized letter from awner authorizing same <br /> OVER THE COtINTER PERMI7TING {Fcant of Appllcatian Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C i Fences(PIoUSurvey/Faota�e) <br /> Driveways-Not aver Counter if on publia roadways..needs ROW <br />