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51,5-rcu-uuzu C:Ity OT Lepllyrnins vermlt Application rax-oio-rou-uuci <br /> Building Department <br /> Date Received <br /> ;•�; f. =•Phone Contact:for•Permitting" ��J <br /> Owner's Name '�u'j"i t l Owner Phone Number <br /> rx <br /> Owner's Address . 0 Owner Phone Number - <br /> Fee Sim ple;TitleholderHame ` " OwneraPhone Number <br /> Fee Simple Titiehotder Address <br /> JOB ADDRESS �� �!`� LOT# <br /> SUBDIVISION_: PARCEL ID#. O Z- Z —Z j _0 Z7JO _ Q 0 Pm— cem 3 O <br /> 1; (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NevV CONSTR' ADD/ALT SIGN Q 0. DEMOLISH <br /> !' - INSTALL 8 `REPAIR <br /> ;t <br /> PROPOSEMUSE Q SFR Q -COMM, Q; OTHER <br /> TYPE°OF CONSTRUCTION 0' BLOCK 0. FRAME Q, STEEL 0 - <br /> DESCRIPTION OF WORK sF, 4 9'U,-2 <br /> BUILDIN.. MIZE. J�` -S4'FOOTAGE HEIGHT) <br /> OBUILDING, $ ( VALUATIONOF TOTAL CONSTRUCTION <br /> !Cf b <br /> =:ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ <br /> i. <br /> Q�ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> L;GAS Q ROOFING SPECIALTY OTHER <br /> FINISHEDiFLOOR ELEVATIONS FLOOD ZONE AREA =YES .NO <br /> is <br /> f <br /> :BUILDER COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN Y/N-. <br /> i� <br /> Addr®gs License:#! <br /> ELEC,TRICIAN'.'. ; .. COMPANY <br /> ;'SIGNATURE° : REGISTERED Y/ N FEE CURREN . `Y/N. ' <br /> Address` License <br /> COMPANY: <br /> .,.'SIGNATURE 'REGISTERED.'.., J. Y.-/_1-N1_`:, :FEE CURREN Y/NJ' <br /> : . <br /> Address License#!.:' <br /> .,: .MECHANICAL :.,:COMPAPIY <br /> 7 SIGNATURE•'`:'° REGISTERED Y/. N FEE;CURREN. ., <br /> Address:r' licens<e. <br /> CONK PANY. ..t . <br /> =;'SIGNATURE;'r;,-::>;•=r REGISTERED FEE CURREK <br /> Address ,. ':` ' eicense'# C� C-e '?C4Z <br /> : .. _ <br /> RESIDENTI` `-, ' �Pl i.y <br /> lot. ,ans;,2 setsofiBuildin >Mans;' 1) setofEnel ''Forms;'R O=VVPermit r:new;constiucUon- <br /> '`,vs �a;• ;::..,,SMinimu to :.1t).s .ork n rda'. afte .,. :,iiiittal:''aCe.aR i.._ .s: Y,.:.,,_ P..T: �.;. <br /> equ red'`on Ite;iCbnstruction. Ians,StoT?►?waterPlans"vii%SIItFence`iristalled; <br /> Sanita: Facilities=& tam ste .,SiC iW.oric+;Peiimitfor�subdivis'ion liar`e sets.= <br /> COMMERCIAL Atta'cti't2)compleie sets:ofBuildind'Piansplus a'Life'Safety Page;°(1)'set of Energy Fomis.R=O-W Permit fbf new constructlon. <br /> ;:I9 . <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,.. <br /> Sanitary.Facilities&1 dumpster.Site Work Permit fot all new projects.All commercial requirements.must meet compliance- <br /> „SLCIY;P�RRAIT "Attach='Oset'spof,E{igiFleeredte'Ians�i�;.,;., r '_- <br /> '"'PROPERTY SURVEY regulred'Jor a!I NEW'�nstru Ition., <br /> UDaee'ctlon"s: <br /> 'Flll:out application completely. <br /> Qinme�B�Contraotor,sign:backofapplication,notarized <br /> If bvei$2500j_a Notice:of Commencement.is required. (A/C upgrades over$7500) <br /> s Agent.(far tha:contractor:)ior�Power of Attomay"(for'the owner)would ti'e someone with notarized'letterftom owner authorizing same <br /> s0,1%ERAHE COUNTER PERAAI'rTING ;.,(copy:ofscontract<required) <br /> t-:Rer.Qofs if sFiingles Seuiiers: Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> iDriveways-Not overCounier if on pubiic`road way s needs:004' <br />