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01a-1uu-uuzu uty oT Gepnyrnins Permit Application rax o ia-rou-uuc 1 <br /> Building Department - <br /> Date Received ;.Phone Contact for Permitting' <br /> uSA `i <br /> Owner's Name /v A Owner Phone Number <br /> Owner's Address 3, Owner Phone Number <br /> Fee SimplerTitleholder Name - Owner Phone Number' <br /> Fee SimplelTitlehoider Address <br /> hl <br /> JOB ADDRESS j C� v LOT# <br /> SUBDIVISION PARCEL ID#. <br /> i <br /> (OBTAINED FROM PROPERTY,TAX NOTICE) . <br /> WORK PROPOSED B NEW CONSTR'B ADD/ALT . 0 SIGN 0 0 DEMOLISH <br /> INSTALL :REPAIR <br /> PROPOSED;USE = SFR 0 COMM = OTHER <br /> TYPE`OF CONSTRUCTION = BLOCK • 0. 'FRAME = STEEL Q. <br /> DESCRIPTION'Of WORK �/C if tvlo GG17 2 lGJ'V <br /> i <br /> BUIL DIN G:SIZE SQ FOOTAGE HEIGHT •. <br /> =B,'UILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> d <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> I <br /> =PLUMBING $ <br /> i w <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0, ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y-/ N FEE CURREN <br /> Address License;# I <br /> I - <br /> •_.'.ELECTRICI,AN COMPANY <br /> SIGNATURIE REGISTERED Y/ N FEE>CURREA <br /> Address - License# ; <br /> -PLUMBER' 'COMPANY_: . <br /> -SIGNATURE ` REGISTERED . Y./'N FEE CURREN <br /> Address. license#; ;..: <br /> --:MECHANICAI: COMPANY_ �7/I� �/ C!�fi2 eldp)))rlewpyG 1�/rm-mvd,[Jv <br /> SIGNATURE" REGISTERED Y/ N FEE,CURREM <br /> Address+r> ;�y Sa.'13/I/1Gf 6 064JAr 9ZVP#gees L`icense.# <br /> OTHER;.`:' ....,,: COMPANY <br /> °SIGNATUEtEu.`;'>i REGISTERED Y/:N FEE CURREN Y/N <br /> Address ; s: - ,: g} L License'# <br /> •.,G, �. -:ram.' •�.� �. - 'i 4- ''i£ini <br /> �-! PRESIDENTIAL Attach: 2`=Plot`PIans t'2?sets of Buildiri 'rF?lans; 1' set of Ener -Fomis;R=;0-1N Permit fornew.constivction, <br /> (2), O 9 � ) 9Y, . <br /> •„Minimum�ten 10,;woikiri"`'ila" aftet;'sutiri littaldate::Re'uiied onsite'Construction'Plans,: Grmwator Plans w/Silt Fence installed; <br /> Sanitary Facilitiesr&r1;.dumpst�r;:SitejWorkiPermit:for>�sUbdivisi6n6/large projects' <br /> _'°a>;COMMERCIAL Attaati(2)corriplete°s'ets of`[3uild'ing Plans"plus a Life Pa,age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> w Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto mwater Plans-w/Silt Fence.installed,_ <br /> epr Sanitary Facilities&1 dumpster...Site Work Permit for•all,new projects.All commercial requirements must meet compliance <br /> "SI:GN.PERAAIT 'Attach"=(�)sets;of�EngineeredtPlans t.:, .. _ <br /> ****PROPERTY SURVEY required for.all.NEW construction:. <br /> Fi11', ut application completely.`LL <br /> O.wne�&.Contractor sign:back of application,notarized <br /> `If over$2500;.a Notice.of;Commencement Is required. (A/C upgrades over$7500) <br /> i9 eat for the confraoto� or Rower.of Attome 'f6 'th owner would-1 a someone with notarized letter from owner authorizing same <br /> -9 ( ) Y( ) 9 <br /> i`=iiOV.ER':THE 000NTE_RwPERMITIING: ._. eopy.of.contract:required) <br /> RerQofs`if.shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> ;Driveways-Not^over Counter if on public'roadways':rieeds`ROVN <br />