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.. ..... uALY or 4epnyrnins t-ermll Application <br /> Building Department <br /> 7-- <br /> Date Received 'Phone Contact for Permitting I <br /> M== Trn-IT"T........................... <br /> Owner's Na Owner Phone Number q5' 21-77- Lih� <br /> Owner's Address OpLiAA -reamc,-- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number E <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -7 57!52- -Dn- Li./,A :ZipaxA6e -2! LOT# <br /> SUBDIVISIONrrttSPARCEL 1D#1 63-26-at-02-30-C200M 2- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADDALT Sit'N DEMOLISH INSTALL REPAIR <br /> PROPOSED USE SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> Z ea—,L C-A9,04 e 9.q ej-1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ................... <br /> =BUILDING. VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> [::29rft'CHANICAL <br /> 6C7 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA, =YES NO <br /> fill <br /> I I i"I I I ittf."ftH <br /> REGISTERED I YIN - FEECURREh �N <br /> BUILDER COMPANY <br /> SIGNATURE <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L—YULJ FEE CURREN Y/N <br /> Address I License# E <br /> PLUMBER COMPANY Y SIGNATURE REGISTERED N:] FEE CURREN <br /> Addreas License# E: <br /> MECHANICAL COMPANY LA e— :57&,,e—L,11 I <br /> SIGNATURE REGISTERED I Yf N- --FEE icuRkEt, L_XLN J <br /> Address IL <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED [:::7=/ N T FEE CVRR IS LY/N <br /> Address License# <br /> 9 1 4 4 a i 0 M t-H i 10 0 2 0 M 4 S ti-H 1 1 1 1 +f-H1 <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum tan(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence Installed, <br /> Santlary,Fecilitles&I dumpster;Site Work Permit for subdlvlslonsilarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meetcompliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> —*PROPERTY SURVEY required for all NEW construction. <br /> .1. .i.??TTr!1!11.11 T- ­........... -------------------- <br /> Directions: <br /> Fill out application completely, <br /> Oviner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs If shingles sewers Service Upgrades A/C Fences(Plol/Survey/Footage) <br /> Drlvoways-Not over Counter If on public roadways.needs ROW <br />