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51a-inu-uuzu uty of Gepnyrnins vermIt Application rax a,is-rau-uuc i
<br /> Building Department 4
<br /> Date Received C —
<br /> ` `' / .=Phone C:ontact:for•Permitting S' J � - T
<br /> Owner's Name C Q.�2, ,may /1�G' Owner Phone Number 3 1 301 .
<br /> Owner's Address Owner Phone Number.
<br /> Fee SimpleTitleholder Name "" Owner Phone Number
<br /> Fee Simpl®=Titleholder Address
<br /> 1
<br /> JOB ADDRESS 7 O I j i" O T LOT#
<br /> SUBDIV149m: 6h PAR EL.ID# �J o7 i �<✓ ._6vjo. D D.a Oro
<br /> (OBTAINED FROM PROPERTY:TAX NOTICE),..
<br /> WORK PR(AP,OSED NEW CONSTR' : ADD/ALT Q SIGN Q' DEMOLISH
<br /> ca
<br /> R INSTALL 8 :REPAIR
<br /> PROPOSED,USE. _ "SFR 0 'Comm FV OTHER:.' (oi¢
<br /> di
<br /> TYPE`OF.:C,bNSTffUCTION- BLOCK Q. 'FRAME ; STEEL Q.
<br /> DESCRIPTION OF WORK �,�/ 7�
<br /> -BUILDINGfSIZE. SQ'F00TAGE HEIGHT`:,
<br /> .:t
<br /> =BfUILDING $ VALUATION'OF TOTAL CONSTRUCTION
<br /> �r
<br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
<br /> M. , 0 Q
<br /> =PLUMBING . $
<br /> AM'rECHANI.CAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> ]GAS = ROOFING 0. SPECIALTY. [_] OTHER'
<br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
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<br /> t .
<br /> :BUILDER p COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREN
<br /> Addrq�s -License:#
<br /> COMPANY
<br /> REGISTERED Y/ N FEE>CURREN .. ' Y/N.
<br /> Address License#
<br /> --
<br /> 7."SIGNATUiE.:' 'REGISTERED', Y.4-W .'::. :`FEE GURREP
<br /> Address1714
<br /> License.#;
<br /> COiNP.ANY ;�./(��•• � � �C�
<br /> REGISTERED' /NSIGNATURE" C
<br /> C
<br /> AddressrP. S.
<br /> `-:OTHER > :-
<br /> SitiN , STR FEE CIRREK Y/NAtZEv G
<br /> .:..: i' .. ai•'
<br /> RESIDENYI M.. Attach../2, Plot P•.lan ]2 'ets=`of Buildiri'F'la ' •1"a f E F'' rT
<br /> . ':YYu. . .l-- t\ )�..,,.-, J•r,1. n et=n n orm R;0=1�V1'P;ertnit�tcrnevir•,coristiucHon,�� '
<br /> -,L..t:• :, Minimu rte ;<10,: .orkin da: after utirriittal=date:`°Re ui�ed''on`site�=Consteuction'PI ns`_Storm'`aterPla s'w/Silt. ence'ri Iled '
<br /> ;'s;•4;': .. .t:",S.v:.:,.,w tu: �ivN n(r.t;�a�! ,,.9..: ,YS,_.. q. i a .W , n F 1 st8 , ..
<br /> tary,•�Sani : :Facilities ;1;dum ste'sSif`Work.
<br /> ,... ... .. &..:,... P G ,4.;P:errnit`•foFsubdivisions/large:projects..;-,'.:-'-'
<br /> _,=_COf1AMERCIAL Attach t2);ccmplete;'sets of'Bulidln�g Plan`s plus a Life Safety Page;(1)"set of Energy Forms.R=O-W Permiffor'new construction.
<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 foFall-new projects.All commercial re..quirements.must.meet-compliance~
<br /> :iz�S•I,GN':PERBYJIT -AtEacli( )F'sets of EngineerecJ Plaris =;,•.:;'.' ; , .
<br /> ' "'"PROPERTY-SURVEY regUi[ed)pr.:all,NEW_'constrtiction..
<br /> :'Flll:out_application completely.r,
<br /> OWner."&'Contractorsign.backofapplication,notarised
<br /> -.If:oVer,.'$2500;..a Ndl iee:of Commencement.is required. (AlC upgrades over$7500)
<br /> '",:' Agent(fo�fti' contraofo)rorPoweFnf Attorney.(for'thegwner)wouldSe someone with notarized letterfrom owner authorizing same
<br /> L;`O1IER I HE COtlN1'ERPE�RPJh'll.�1G,..:..; (coPy:.of�contractarequired)
<br /> Retpofs:ifsliingles Sewers`. "Service Upgrades A/C Fences(Plot(Survey/Footage)
<br /> Driveways-Not over Counter if on_public`roadways neetls R01N: --
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