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i <br /> 6115_1nu-Uuzu uty or Lepnyrnills rermlt Application rax-o'irro�-vac <br /> Building Department <br /> ti <br /> Date Received =::PhanotCofitafct for Permitting <br /> Owner's Nam® r Owner Phone Number �3'7 —��60 <br /> Owner's Address . ZS� P .(��d12 Owner Phone Number j <br /> Fee Simpli1itleholder Name' Owne'riPhone Number <br /> Fee Simple;Titieholder Address <br /> f G� "� <br /> JOB ADDRESS (0Z C' 0� �+' LOT# <br /> SUBDIVISION PARCEL ID#. . <br /> (OBTAINED FROM PROPERTY,TAX NOTICE),. I, <br /> WORK PROPOSED NEW.CONSTR' ADD/ALT • 0 SIGN [� DEMOLISH <br /> R INSTALL e REPAIR <br /> PROP..OSED USE Q' SFR Q - ---COMM 0'... OTHER ' <br /> TYPE:OF.CONSTRUCTION - Q BLOCK Q. .FRAME Q, STEEL Q. <br /> DESCRIPTIbN`OF WORK " S v <br /> ii // > , i <br /> BUILDING;SIZE FOOTAGE =.//oz Zti :HEIGHT • <br /> . <br /> 06_UILDING. $ �� ��w VALUATION-OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 'PROGRESS ENERGY W.R.E.C. <br /> =E 0 � <br /> t <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION = <br /> Q=,T <br /> r <br /> C]GAS 0 ROOFING: Q SPECIALTY. OTHER' <br /> FINISHEDiFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ft i <br /> As <br /> BUILDER COMPANY �!� / �%L " <br /> SIGNATURE REGISTERED Y/X. FEE CURREK Y-/N I <br /> I <br /> Address 5 �j L .5 rer LAJ license:# <br /> '-ELEC7iRICIAPI:. :..;. COMPANY <br /> SIGNATURE° REGISTERED Y/ N '" FEElCLiRREK , .. Y/N ' <br /> Addre s' License# <br /> r BE <br /> .; <br /> SIGNATURE REGISTERED:. Y/':IN ,:... <br /> ''-'':FEE CURREK'.. //N ' <br /> Address. License <br /> MECHANICAL <br /> .7:,, :Y. .-. .. .. <br /> SIGNATURE,::' ':.`:'' "" : . `REGISTERED " Y/ N . +;:' FEE;CURREK. <br /> Adalf—es�` License.# <br /> :"'.'OTHER;`•: rj;:.:.;.':; COWIPANY: <br /> REGISTERED Y/`JV, FEE CURREK' Y/N <br /> 4; Addr®ss=„ ,: ;,: 'Lice <br /> }; <br /> �iL Attac 2 PlbtsPlans -2 s'etsrof Buildln :P-..laps•+ f,Er! ,FQ s'R=O y .Pd' ltfor.new,constructlon <br /> sMinimu `gate' 10. _ - <br /> _n;;, o': in' da S:afte sitiiiittaladate:cRe uired''on§ite;tConsttictlon'Plans,`Sto[nwater'Plansw/.SlitFence.installed; <br /> Sancta Fatles&�1,,dum sfer.;8[f,W.otilgRbrmit:fot.:s bdiVlg'ions%lar ed. ecfs' <br /> I_MERCIAL Attu''cla t2)'complefesets."of`BuiidiW01'ns`plus a Life'Safety'Page;(I)'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 /> Sancta Facilities :1 dum ster Site Works Permit fo�'all:new:peojects.All commercial requirements must meet-compliance <br /> •_.;SI,GNPERMIT "Aftaoh O setsrof;Er>gineeredr?tans: -::;1;:.::;,: :':..;:;.,, .. •: , <br /> ***'PROPERTY SURVEY reguired_fo[.aII,NEW:constwction...' <br /> FIII outapplication completely. <br /> `Owner'8'Contraotor,-sigp:back of application,notadied <br /> -if:.Over'$2500;.allotige:of`Commencement is required. (A!C upgrades over$7500) .. <br /> 111 <br /> "" agent:(for the>coiitiactgr.)Yor.-Power:ofAftomey'(foratie owner)wdblflie"someone with notarized letter from owner authorizing same <br /> OVERT.HE°CQUNTERPERMiTTLNGh.::,.: ;.:(g9py.ofcontract�required)" <br /> :RerQofs=ifshiri"gles Seul7ers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> j, <br /> :D�iveways-Not over Counterif on public`roadways needs`R01N• .,f i i <br /> I <br /> i <br /> i <br />