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�+ny�a��vNnynnua rCI11111Ft(.7NIIC:dllOfl raX-t3lL�-/t5U-0STl'1 ' <br /> y Bullding Departrnent <br /> Date Rccaivad 1 � � c�S�� <br /> Phone Cont�ct for P�rmittln b <br /> Owner's Poame Owner phone Plumbar <br /> OwnaraAddross �1vC�J � C �e�j S� • �m •p�norPhanald¢mbar <br /> Fea Simple Titiaholder Namo Owner Phone Poumber <br /> Fee Simple Titimholder Ad6ress <br /> JOBA�DR@SS � �J�/v� � �'In ��1�Q� -�- ' LOTt# �� <br /> SUBDIV1310�1 I ��L��/l L PARCELID# ��`��r � —.VIf�IO `OV�J�—���I�O <br /> (08TW NED FROfl9 PROPERTYTNC NDTICE) � <br /> WORK PROPOSED NEW CONSTA ADD/ALT Q SIGN Q Q DEMOLISH <br /> IIdSTALL e REPAIR <br /> PROPOSED U9E Q SFR Q COMhG Q OTHER <br /> TYPE OF COW3YRUCTiOM Q BLOCK ^ Q FRAME [� STEEL Q <br /> DESCRIPYIO{V OP WORK 1 Y a I �.1 I VY' 1 1� �, <br /> BUILDIh1G&IZE SQ FOOTdGE� HEIGHT �� <br /> QBUILDING $ _ <br /> , VALUATION OF TOTAL CAPISTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING g 1�� � <br /> C]MECHANICAL § - V:,LUATION OF h:ECFiANICAL INSTALLATION �D�� <br /> ��S Q ROQFtNG ,Q SPECIALiY 0 OTHER � <br /> ; FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> a <br /> BUILDER COMPANY - <br /> SiGNATURE REGISTERED Y/N FEECURREn y�►q <br /> Address Wcense# , <br /> ELECTRICIA411 COMPAPIY ' <br /> SIGPIAYURE ' r�GISrEaeo Y/N .. �CURaen .' Y I N I ` <br /> Addresa Llcense# � <br /> PLUMBER con�eawr � . i1 Yrl G k1 vY1 <br /> SIGfVATURE , qecisT�e� Y/.N- . �cUartEn Y/N <br /> Addreuss W51 I 13e� �`1 � ucensett �-SS-��f a �j <br /> MECHANICAL COEIAPAAtY <br /> SIGPiAYURE _ r�sigTEr�u Y/P1 �c��tEp, , Y/N <br /> - � <br /> Addroaa• - License# � <br /> OTHER C�p� <br /> 310iVATURE r�cisrea� Y/N. �curtrt�n Y/N <br /> Addrese lJcense# <br /> RESIDEN7IAL Attach(2)F�oY Plans;(2)sets of Bullding Plans;(1)set of Energy Frortns R-O-W Permit for new construction, <br /> Minimum ten(70)working days after submHfel data. Requlred onslte,ConsWc6on Plans,Stonnwater Plans w/S�t Fznce iris�-.�ped, <br /> Sanitary Facflitles&7 dumpster;Site Work Permlt for subdivisionsflarge pmjec� <br /> COMMERCIAL Attach(3)bomplete sets of BuOding Plans plus a Ufe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construr�ier,, ' <br /> Minimum ten(10)woricing days'after submlttal date. Requlred onslte,ConsWction Pians,Stormwafer Plans wl Silt Fence eis�1{ed, """ <br /> Ssnitary Facilides&1 dumpster.Site Work Permit for all new proJacts.All commerdai requlrements must meei comptiance <br /> SIGP!PERA7IT Attach(2)sets of Englneered Plans, <br /> ""PROPERTY SURVEY required for ali NEW construcUon. � <br /> Dleoc4lons: <br /> . FlII out appiicaUon compietely. <br /> Owner&Contractor sign back of eppGcatlon,notarized � <br /> If over g2500,a Wotica o4 Commonrament is requlred. (d!d upgrades over$7500) <br /> " _.;-si ffor the conVactor)or'Power af Attomey(fo�tFie owner)would 6e someone with notarized letterirom owner authoraing same <br /> ' �='4���L^,TcR PERR3ITYING (Front of Applicadon Only) <br /> �,"�``'��i.�� �as�=s� Se:vice'Upgrades fVC Fences(Plo!/Survey/Footege) <br />' i ' __�n-:w-�-��-'._....� T..�-.�.:..=..=_va�Y..r.asds ROW <br /> I <br /> ���'��: ...-_ : _ _ __ <br /> �.�.=� ----- - - -:__.�e��_�_.�_`,�_��._��___.:�._-�._..__..._._.._!____.���.__--:_�_:.�_-_���_._.__�_--� <br />