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Building Department <br /> ¢ n <br /> Date Received � ,Z-/6 Phone Contact'for Perrnittin �/�3 1/ -^��b <br /> 9" <br /> Owner's Name G Owner Phone Number <br /> Owner's Address lJ' 19 Owner Phone Number <br /> Fee SlmplaJittehotder Name Owner Phone Number <br /> Fee Simple:Titleholder Address /q <br /> JOB ADDRESS LOT{f <br /> SUBDIVIS16N PARCELID# ��{a" I-G7 .� �• d ©p U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ..NEW CONSTR'= ADD'/ALT SIGN = Q DEMOLISH <br /> INSTALL 'REPAIR <br /> PROP..OSED,USE 0 SFR = COMM 0 OTHER <br /> TYPE`OF CONSTRUCTION EK BLOCK Q FIR <br /> IAME STEEL 0 <br /> j c�I'� <br /> DESCRIPTION'OF WORK �Y y 1�T c- r /("� / ---T <br /> -BUILDING.i;IZE LI�LI t'� j SQ FOOTAG <br /> =BUILDING $ /z� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL, //Jr �9��I AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> � J <br /> =PLUMBING $ r/Sv <br /> =MECHANICAL $ �GG--+7�+!r? VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA .=YES NO <br /> Hill <br /> BUILDER t �'�/2 REGIMST D G Y FEE RREN YlN. <br /> PANY <br /> SIGNATURE <br /> Address 'Licensee <br /> ELECTFtIt:tAN COMPANY G1...r �(rGCf/G <br /> SIGNATURE 7 /��� REGISTERED I Y/ N FEE'CURREN <br /> Address lrZ ` ' G / GC! C' License# <br /> P"LUMBER. ,'„ .-. C051PANY. C �Pf' (till/ <br /> SIGNATURE rr�� Q -REGISTERED Y/'N. ' FEE CU Y t N <br /> Address i tv JT '/// a� License#. Fe 1q,1$/ `� <br /> : -MECHAh[16A ' .,COMPANY. ..,5d!/l.(`y�i✓CG� Hof <br /> SIGNATURE;+'' ".. .. REGISTERED ..,I •Y/ N FEE:CURPFJN,, 'Y/N. <br /> Address,. •� r/'",�''D�' C"Y'''�'dr /nrE' mil" < <- License.#.��G��j`Fi�3�S/�1�... <br /> COMPANY <br /> OTHER= <br /> C <br /> SiGNAT17FtE REGis7EREo ,.Y/.N FEE CU[RRE�N YIN <br /> Address,; License# <br /> >. <br /> :RESIDENTIAL";r Attach r2);Plot P,lens>'(2)sets:of9trllding Plans;(1)'set of Eneigy:Forins;R 0-V1!Perinitfor new.constiuc0on;, . <br /> �.Minlmumrten 10 warkin"da pafte'rsiibmittal:date :R r <br /> (•."),, 0}' Y`. equired'orisite;Construction Pians,'Stormwaterplans w/Silt Fence installed, <br /> Sanitary Facilities; i:duJnpster_Si(a;.Works?ertnit:f6r'stitbdivlstonsRarge'prpJests` . `.:. -. <br /> :GOMMERCiAL Attach'(2j'compieteisets aFSuiidl g Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction: <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,. <br /> Sanitary Facilities&j dumpster.Site Work Permit foi ll,newpiojects.All commercial requirements must meet compliance <br /> SiGN,.PERMIT AtCaclr'{2)`sets,0-E6giri@eyed <br /> ****PROPERTY SURVEY required for-aII,NEWconstructlon.. <br /> Ditecyons: <br /> All out application completely. <br /> Owne,, ,Contractor,sign back of application,notarized <br /> 'If over$2500;--a NbUce.of:Commencement is required. (A/C upgrades over$7500) <br /> Agent:(forthe contractor)or Power cfRftomey{for the owner}would do someone with notarized letter from owner authorizing same <br /> r;iOtVt R.THE COUNTER,PERN1iTTIP(G. :. ..(oopy.of contract-required) <br /> ;•`Reroofs if'sfiingles Sewers. Service Upgrades A/C Fences{Plot/Survey/Footage} <br /> Driveways-Not over Counter if on public"roadways::needs ROW <br />