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tsIa-iou-uuzu uty or Gepnyrnms vermlt Application rax-airrou-uuci <br /> • Building Department <br /> Date Received <br /> 8 :Phone Contactifor'Permitting <br /> Owner's Name +�� �� �/ - Owner.Phone Number (��3 7�3" 7 0 S� <br /> Owner's Address . 371 Q �3 Owner Phone Number <br /> Fee Sim plexTitleholder Name +� Owner Phone Number <br /> FeeSimpl®;Titleholder Address ? <br /> jI <br /> JOB ADDRESS ��� // LOT# <br /> \' SUBDIVISI D#.ON: PARCEL �d Z� )W ' d&Qd— DO UUp <br /> (OBTAINED FROM PROPERTY.TAX NOTICE). <br /> WORK PROPOSED NEW C0NSTR'8: ADD/ALT - .Q SIGN Q = DEMOLISH <br /> a' INSTALL REPAIR <br /> PROPOAED;USE __ SFR Q "COMM Q OTHER <br /> TYPE`OF_CONSTRUCTION 0' BLOCK 0 FRAME 0, STEEL Q. <br /> DESCRIPTION OF WORK = <br /> j <br /> a. <br /> BUIWING, IZE,-' SQ FOOTAGE :HEIGHT' <br /> =BUILDING. $ /n�r VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q 'PROGRESS ENERGY Q W.R.E.C. <br /> l� <br /> 0PLUMBING $ <br /> :,I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> AS ROOFING QGf,1 � Q SPECIALTY. O OTHER <br /> FINISHEDiFLOOR ELEVATIONS FLOOD'ZONE AREA =YES NO <br /> Qi . <br /> ..BUILDER! COMPANY 7T <br /> SIGNATURE REGISTERED I Y'/ N FEECURREP : Y/N <br /> 71 Address O f � d� License:# 3 �3Z <br /> ;`:ELECTItIC1i�iV COMPANY <br /> 'SIGNATURE' REGISTERED Y/ N FEE GURRE� , .. Y/N. <br /> Address License:# <br /> PLUMBER;':.:... COIWPANY ' <br /> z <br /> :SIGNATURE` REGISTERED'.. _'.1G/"Nr' ,. '.:FEECURRE� Y/N. - <br /> Address. -Licen"se <br /> MECHANICAL COMPANY., <br /> SIGNATURE' REGISTEIiEo Y/ N : FEE:cuRREn: .. .LLY N <br /> Added' sr%': License:#:. <br /> ;h;.OTHER• a ;COWIPANY. <br /> GNAURE'':, " Rl GI5TERED: Y/N FEE;CURREK. Y/N <br /> Address-r :;;5:} - : .Lie,erise <br /> •Se <br /> >:RESID.ENTI .Attach°::":2: Riot-P1"n �"et`s�o�8uil'din��:Pla s�°':1�� `'fE' s= P "rn�` •n- con,a,s;,.j2)s f g- n ,(.)set'o rie ''F`oriri ,R, cc stu ti <br /> ,. r9Y'.:.. 0-W ,er[nit_fo " <br /> esta e sew,Slit enc':1 If d n,(.`j v�r,.. i„9. .Ys. _.._subrrittta .date..._equ redo s te;iCo struc on .a s Sfo�inw a an / F I , <br /> ,�L;{�,;_ -• Sanitsryj�,acillLes„&�tdumpster,SiteWork;Permitforsubdlvis[onsl_largeproJecf;;'�.-,:•,:�-�•:',- • :`=•••':�'' -'' .. . . • <br /> COANMERCIAL Attach'j2)cdmpieeaets of`Bulldl'ngTllans plus a L"ife Safety`Page;(1)-set of Energy Forms.R=O-W Permit for'new constructiori. <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,,.. <br /> Sanitary Facilities&.1 dumpster.Site Work Permit f&4II new,projects.All commercial requirements.must meet compliance', <br /> "-;'SLCN'PirRNiIT "AHacFi( j`setsiof E9ineerediPlans: :_:,.- <br /> ""PROPERTY'SURVEY,reguired for..,all,fVEW:constivcticim..'' <br /> s:Flll=out application completely. <br /> Qwner,&=Contractor signaiack of application,notarized <br /> "If over'$2500;..a NotiOe:of Commencement.is required. (AfC upgrades over$7500) <br /> Agent_(forth95contractgr)ror-Fower;ofAttomey'(for"the owner)woulfl a someone with notarized letter from owner authorizing same <br /> `''OVER THE:CAtJNTE_fi<PER1VlITTtNG„..:.:.; (coPY:ofcontract<required) "`' "` <br /> Rbr.QQofs,if;stiingles Sewers. Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> :Driveways-Not overCounter'if'cn'publiEroadways:need`s",ROW <br />