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i <br /> a�o-iau'uuzu uny oT Gepnyrniiis vermit Application raa-O a-roU-uuz i <br /> Building Department <br /> Date Received ::.Phone'Contact`,for Permitting <br /> Owner's Name �t?�f9010 Owner Phone NI mber <br /> r I <br /> Owner's Address . .�3� L_ a C' c,4 , Owner Phone Number.• <br /> Fee SlmpleaTitleholder Name ' Ovirner`Phone Ni mber <br /> Fee Simple;Titleholder Address <br /> i <br /> JOB ADDRESS Ping - 8 LOT# <br /> SUBDIVISION: F PARCEL ID#. <br /> (OBTAINED FROM PROPERTYXAX NOTICE) <br /> WORK-,PROPOSED NEW CONSTR' ADD/ALT - .Q SIGN 0 = DEMOLISH <br /> y, INSTALL 8 :REPAIR <br /> PROP..OSi yl);USE Q SFR Q -COMM. Q OTHER <br /> TYPE:OF CONSTRUCTION: BLOCK 0: .FRAME 0. STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ'FOOTAGE HEIGHT •.: 6 <br /> .3 :. <br /> BUILDING. $ VALUATION'OF TOTAL CONSTRUCTION <br /> =EL-ECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =OECHANICAL $ VALUATION,OF MECHANICAL INSTALLATION <br /> �I <br /> =GAS = ROOFING: 0 SPECIALTY. [� OTHER, <br /> FINISHE61FLOOR ELEVATIONS FLOOD'ZONE AREA =YES NO . <br /> :BUILDER ' COMPANY' C�dy1 �/lCp ' <br /> SIGNATURE / REGISTERED Y'/ N. "' FEE CUR <br /> RE� Y/N. <br /> Address .mod S (q� LUG tteerise.# <br /> i <br /> COMPANY'. <br /> ;SIGNATURE' REGISTERED Y/ N FEE 'OR'Eh: <br /> Address` "License;# <br /> PLUMBERi'. COiiHPAW <br /> -SIGNATURE REGISTERED.`. Y./"Nr',..i''..FEE GURREA <br /> Address. License#'; <br /> ::MECHANICAL; C,OPAPIY '.. <br /> SIGNATURE,-:"' REGISTERED Y/ N FEE:CURREA . .: Y.%N <br /> Address=�': Ltcens,e.# <br /> OTHER ' .. .... COHftI?ANY: <br /> 'J$IGNAIIRE='fix' REGISTERED`: Y/:N. FEE;CURREN Y/°N <br /> Address- <br /> . <br /> 'License <br /> R YSIDEN71` ? A ",. s v <br /> S AL ,.ttaeh(Z),l?lot,Plans,..(2)set- df`�BulldfnjV,0'I s;(:9')zset of Ene y'Fomts;R A=Y11 eririif:for•new.co n; <br /> _ . . __�9,. P_ nstructlo <br /> �. . ,Mirilreu F`term 41l),; ;orlon"lda saftetsutiinittaladate:"Re wired°'onsite,,Constnlctiori?Plans;Stofmwater Pl;�hs'wi/Silt Fence installed;' <br /> Sans 'Facilities&1i,dum`sfe S[f`.•1No` Peimit:for'subdivis'ion' /la `e e¢ <br /> t�:,s ' <br /> COIwMERCIAL Attach(2)-,Compl'ete sets of.Buliding Rlans plus a Life Safety Page;(1)set of Energy'Forms.R=O-W'Permitfor'neuir construction: <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,... F <br /> ~Y~:; Sanitary.Facilities 8:1 dumpster.Site Work Permit fog all never=projects.All commercial requirements.mustrneet-compliance' <br /> `t,SIGN PERMIT -AHacii{ sets of E(gi ieere J Mans:;?;::; <br /> =k h "•'•PROPERTY SURVEY reguir_ed for..all.NEWconsim-1:1on.. <br /> : ..- <br /> Ftlioutapplication completely. <br /> Contractor,sigp1ack of applibation,notarised <br /> `- If:ovgr'$2500;-a NotiFe:ofCommencem®nt.is required. (Aid upgrades over$7500) <br /> ... <br /> s,F.;:, Agent_(for the�'contrdcto'r:).'or Power•of'Aftomey'(for'the owner)woulfl a someone with notarized'letter from owner authorizing same <br /> OYBRTHECOtJNTERPEFif1AITTlN2a: (Copy:.ofdcontractarequlred)` ` " '' " "`' <br /> R;z;., erQofsif;sfiingles Seuirers' Service Upgrades A/C Fences(Plot/Survey/Footage) . <br /> :Driveways-Not over Co4nter if on public`roadways:rieeds`ROW ' <br />