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uty oT 4epnyrnuis vermlt Appimation rax-o,a-tou-uuc i <br /> Building Department <br /> Date Received <br /> Phone Contadt:for Permitting-, <br /> Owner's Name -U Poq Owner Phone Number v5"6`?= � <br /> Owinees Address Owner Phone Number <br /> Fee SimplejTitleholder Name ' OwnevPhone Number <br /> Fee Simple;Titleholder Address <br /> JOB ADDRESS (�0 l�l '� 14 1[J �� 3�� : LOT# 0 <br /> SUBDIVISION. <br /> UBDIVISION PARCEL ID#: <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR' ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL a REPAIR <br /> PROP..OSED'.USE SFR 0 COMM = OTHER <br /> TYPE-OF CONSTRUCTION Q' BLOCK 0 FRAME 0. STEEL Q. ! <br /> DESCRIP.TIiON Of WORK r, ffijo-'W T c400 <br /> BUILDING SIZE SG1"FOOTAGE . U 3. HEIGHT•: lP .! <br /> =BUILDING ON 1 <br /> 5co-00 VALUATION•OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> l <br /> =GAS Q, ROOFING" Q SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> A a i i I 1.1-Ce <br /> .i ...H.,1_ - <br /> s 1 2 1 i i's I 1 111 2 1 1 1 1 1 1 1 <br /> ,BUILDER i COMPANY ©I`tJ f't4._ <br /> SIGNATURE / , REGISTERED Y'/ N FEE CURREN Y/N <br /> i <br /> Address License.# <br /> ELECTRICIAN COMPANY - <br /> = I SIGNATURE REGISTERED Y/ N FEECURREr, Y/N. <br /> r <br /> Address'` - License# <br /> P.LUM0E,,i "COMPANY <br /> SIGNATURE REGISTERED Y/"N r "' -FEE CURREN <br /> Address. L(cerise#; <br /> .;:.MECHANICAL COMPANY <br /> SIGNATURE REGISTERED1 Y F N FEE,CURREk <br /> Add' License.#. <br /> 'COMPANY. <br /> ?SIGNATURE ;:'=.i :* :.`" .F REGISTERED Y/:N. FEE CURREK YIN <br /> aaa sg;;. . ...>.. License <br /> t`•� i' ' :a"s' 1 se` >SfEner' -Fo s R=O= Permit r`neliv,i:onstruction1 It <br /> RESIDENTIAL°., ;Attach(2)FIok;P„„tans;.�2)sets of Build ng,Pi n ,O . t gyT,;rIn YW.. fo-. p, . . <br /> `' �, x w Minimum ten(10);workingt"days':aftersutirriittal:defe.'Required`onslte;°Corstnictiom Plans Stomiwater Pl;�ns w/Silt Fence installed; <br /> Sanitary;Facilities:&1ti duMpstgr.•;,SiW W..ork:Permit:forsubdi'visions/large'pro ':;.= :. <br /> - -COMMERCIAL Attach(2)complete sets of Building Plans plus a,1_6 Safety'Page;(1)set of jects Energy Forms.R-O-W Permit fornew constructlon:- <br /> jJ Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence)-nstalled,.. <br /> Sanitary Facilities 8:1 dum ster Site Work Permit for•%alhnevli.projects.All commercial requirements must meet compliance <br /> 'SIGN PERMIT `AttaoFi=( ns:.)"set's,of ErnginBe�ed Pla ?: <br /> ""'PROPERTY'SURVEY-required for.all,NEW construction: <br /> >Fill:outapplication completely. <br /> O.wner;8 Contractor sign.back of application,notarized <br /> 'If over;$2500;-a Noticeof:Commencement Is required. (A/C upgrades over$7500)- <br /> Agent(for`thercontra ctor)orPower.:ofi4ttomey(for'the owner)would tie someone with notarized letterfrom owner authorizing same - <br /> ft6v&.THE'000NTER PEIiMl7TING: (copy.of contractarequired) . <br /> Reroofs:if sfiingles T Sewers. Service Upgrades.A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter if on publioroadways:needs ROW` ---- <br />