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o10-rt5U-UUzU uty oT Lepnyrnins vermlt Application rax-oiriov-vuci <br /> Building Department <br /> Date Received =;i.Phono-CiDiitifct,.forPormittli1g... <br /> Owners Name Yh a 'ToU6, 5 S 1 r Owner Phone Number - <br /> v� In rL,•ik �LvY,�A <br /> Owner's Address . ��.30_ �' . �)vd � 3 K Owner Phone Number <br /> Fee Simpl®lTitleholder Name Owner Phone Number <br /> Fee SlmpleTitleholder Address <br /> I! <br /> JOB ADDRESS LOT# <br /> r <br /> SUBDIVISION PARCEL ID#. <br /> (OBTAINED FROM PROPERTY:TAX NOTICE) . <br /> t. <br /> WORK PROPOSED R <br /> „ NEW CONSTwRe. ADD/ALT ] SIGN ] DEMOLISH <br /> 1; INSTALL :REPAIR <br /> PROPOSED USE = SFR Q `COMM. Q OTHER <br /> TYPE`OF.CONSTAOCTION: 0` BLOCK 0 .FRAME Q: STEEL 0 <br /> t. J <br /> DESCRIPTION OF WORK PA� v <br /> • a7 <br /> BUILDINGSIZE SQ FOOTAGE :HEIGHT', <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION .' <br /> +i <br /> =ELECTRICAL $ AMP SERVICE Q 'PROGRESS ENERGY = W.R.E.C. <br /> l <br /> r: <br /> QFILUMBING $ <br /> =MECHANICAL �$'— VALUATION OF MECHANICAL INSTALLATION <br /> =G4 <br /> AS = ROOFING- Q SPECIALTY. OTHER <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> s; <br /> II - <br /> s. : . <br /> BUILDER t COMPANY <br /> SIGNATURE REGISTERED Y-/ N FEE CURRY <br /> Address license* <br /> :ELECTRICI�PJ:.. :. COMPANY <br /> ,_',,SIGNATURE. REGISTERED Y/ N , FEE>CURRE� - .. ` Y/N <br /> Address` .License;# <br /> P.LUfIfiSE, ;j COIVlPANi, <br /> SIGNATURE ". Y/"N:.' :FEE CURREA <br /> REGISTERED <br /> Address License#', ' <br /> MECHANICAL . .: COMI?ANY... <br /> `SIGNATURE' ; '`. REGISTERED Y/�N . '': .: FEE•CURREN. .. <br /> 9. <br /> OTHER ..;.; <br /> COMPANY. <br /> _kdISTERED1. <br /> FEE CURREN`. <br /> License. <br /> .....,.,, ...,. :- q_...; <br /> ;:MRESIDENTJ -tAttach 2: PIbt Plansi 2.sets.0fS(Jildlh <plans•' •1' set'of Ene 'FoRns R O=1N Permit for new.con§tniction,. <br /> y <br /> µ;> ki. s i � •'i- n, I�ns t ater Pl```s W/..Silt ence:'ri 11ed <br /> Y.•A�linl►nurten'°(iQ) yoe)iiiigdaystaftersuliriittal=date:`Required'"bnste,.Co Wc#lo a ,Somiuvn F I sta <br /> Sanit�ryIF�acilities&>1�tlwmpsta�,SIt�;Woili i?ermit:for„subdivisions%IaTgedpfQjects.,;= <br /> COMMERCIAL Attach'°(2);comptete sets of`.Bullding Rlans plus a=Life Safety Page;(i)'set of Energy Fonns.R-O-W Permitfbf new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,. <br /> Sanitary Fac111ties&:1 dumpster.Site;Work-Permit for all-new'projects.All commercial requirements.must meet,compiiance <br /> `-:'SI,Gf f PERNfIT "Attach=( )setss;,of Erigineered3Plans::_ -,. a _ <br /> "'•PROPERTY SURVEY reguired;for;aILNEW'construction._." <br /> :�`�Fill'out application completely. <br /> Owner;;i&Contractor;;sign:back of application,notafted <br /> {;:'' "If:over:$2500,.allotiOe:of Commencement.Is required. (A/C upgrades over$7500) <br /> "`:...Agent_(for lhe`coiitractge)or-Powrer•:of Attorney:(forafie owner)would-tie someone with notadzed'letterfrom owner authorizing same <br /> "' <br /> _.. . . -....... .. <br /> OVERT.HE�COUN�ER'PE�HflIrTTIR1G,_..:,••:..(copy-ofewntract<required) ` '" ' "- <br /> Rerpofs:if;sfiingles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter,if on public'toadways rieecls'ROV1l . <br />