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u1a-1aU-UUzu C;Ity OT L,epnyrnilis Hermit Application rax-a,s-raU-w�i <br /> Building Department <br /> Date Reg— F <br /> ceived.......w Phone Contact'forPermittin <br /> ....... <br /> Owner's Name Owner Phone Number - - <br /> Owner's Address f,5 33 �`� ;Owner'Phone Number <br /> Fee Simple,Titleholder Name.' ._-Dow) �, Owner'Phone Number <br /> Fee Simplel Titleholder AAddress '1 O c3 e ' ls. CL 3 5 <br /> JOB ADDRESS f S+ �-e l ' �� LOT# / ��1_ b )Cp <br /> SUBDIVISION PYlaDr -I S� PARCEL ID#. 4"o? 6-A- DO 1 D-O a9 Da - 0 1 35Q <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT 0' SIGN 0 Q DEMOLISH <br /> R <br /> INSTALL a REPAIR <br /> .PROP..OSED,USE. Q SFR 0 "COMM 0 OTHER <br /> TYPE`OF CONSTRUCTION 0 ' BLOCK - Q. FRAME Q STEEL Q <br /> 1 yti r CC')<l5t n9 <br /> DESCRIPTION OF WORK d I J� !' I aC el-' t �I D t fvID�S <br /> 4 _ <br /> 'BUILDING`SIZE SQ FOOTAGE=• HEIGHT <br /> QB;1UILDING $ VALUATION*OF TOTAL CONSTRUCTION <br /> L:IELECTRICAL $ AMP SERVICE 0. PROGRESS ENERGY . [] W.R.E.C. <br /> 1 <br /> PLUMBING $ /D <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> L <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ FEE CURREN <br /> i <br /> Address License'# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE-CURREN YIN. <br /> Address 'License# <br /> PLUMBER. COMPANY:,.. <br /> SIGNia►TURE J REGISTERED Y./ N .'' .FEE CURREN LILN <br /> Address License#; <br /> MECHANId AL COOMPANY... <br /> "SIGNATURE'' REGISTERED Y/'N FEE:CURREK. , Y/N <br /> A Iesis,*, License.# <br /> _COMPANY <br /> '.SIGNATUREr,.t..;'z':: :. Y/':N FEE CURREK Y/N REGISTERED <br /> IDENTIAL":::-:7Attacl':"3),M '-,P,lans 2'sets+ofBiifidir "Flans; 1 rsefof Enel Forms;R;O=? .Pe[mitfor new,constiuction. <br /> . :i. -,.7.sN b Minimum,;;teri(;10)wo king?:days`aftetsutirFlittal date:'Required'orisite`Construction~Plans;StormwaterPlans vid Silt Fence installed, <br /> s,. <br /> ..-,i.., <br /> Sanita:;Facilities&1_idum star;,Sitie;:Work Rermit:forsutidivisions/lar <br /> st:OMMERCIAL Attdc144 )`complete`§ets of'BUilding Plans-plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> = Minimum ten(10)working days after submittal-date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.lnstalled, <br /> Sanitary umpster.Slte Work Pennitfoi�all;new`projects.All commercial requirements must meet compliance <br /> SIGNPERMIT "i4ttacfi'O sets oEnginee�edl?l <br /> .. ins,:t.. <br /> ...._ <br /> ****PROPERTY SURVEY re,ulred for„aII,NEWconstruction •• ' <br /> ----------------------------------------- <br /> <Fill:o."utapplieation completely.` <br /> _ Owner&Contractor sign,back of application,notarized <br /> If over.$250ka Notice.ofCommencement Is required. (A/C upgrades over$7500) <br /> iAgent,(for`the'contractor)=or-Power•:of-Aftomey'(fdr'the owner)would-Ee someone with notarized letter from owner authorizing same <br /> ='iOVER.THE COUNTERPERMLTJING._ (copy-ofcontr•act.required) <br /> u",Rero'ofs'if.sfiingles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> 'Driveways-Not^over Counter if on public roadways:rieeds ROW' <br />