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$1 y7CdI•nnjn #.r nt'7m.+tv.rrh:tic Do��)h A.�nitrnFi�n Fgr_R1�TRQ_nrS�i <br /> Betiding Daparment (`�"-� <br /> Date Received Pbouo-Contr toF-Permitting- ^- DC-05 <br /> - Q Iu <br /> Oamer'ts Name ,(• Owner Phone Number <br /> Otvnor'a Address I <br /> Ovrner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simplo Titleholder rrAddressspp <br /> JOB ADDRESS �S1"10 •ram " � LOT;r <br /> SUBDIVISION C'a PARCEL I0:4 <br /> (03TAfWEDFRON PRrIPWITIfTAX NOMCS) <br /> WORKPROPOSED NEWCONSTR® ADDIALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR a COMM C7 OTHER <br /> TYPE DF CONSTRUCTION CM BLOCK—�r7 FRAME STEEL 11 <br /> DESCRIPTION OF WORItC.J —�-^f f• 1� 1., <br /> BUILOING-SIZE- --I•SQFOOTAGE HEIGHT• <br /> =BUILDING $ I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1.��--J AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING t?.AQ��f`R._'� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> .=GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE �REGIST�ERyED I YIN fmcu R'A I Y/N� <br /> Address - - ---- —--- ( License <br /> ELECTRICIANCOMPANY <br /> SiGN —�; <br /> BIGR'1tTUREURB te"EGItiTERE� 'Y7'N EEEiX1IR�iF`[' -YYPt- ' <br /> Address License ---� <br /> PLUMBER Me-CAA— <br /> COMPANY t�WStiean� j PLUMBER <br /> SIGNATURE REGISTERED N PEECURREf Y/ <br /> 4ddmoc t.lconse A _Q�} A O Ss�• <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURR2. Y1td I <br /> Address licensei. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y 1 N ) FEE CURRM V/N <br /> Address t Licon3e0 <br /> eeeeeeeeeeeeeeeeeteeteeeeeeeeeeeeeeeteeeeeeeeeteeeeeeeeeeeaeeteeeee <br /> RESIDENTIAL All.,r21 Plat Plane•r11 stake of iWidinn Pfenq:(1)set of Enemy Fns.n4:R•O_1A/pr ante fnr n w!conslrur-ttnn <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,StoRntv=_ter Plans tv/Silt Fence I,nstelled• <br /> Sanitary Facilities P,I dumpster:Site Mark Permit for subdivisians/targe projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus D Life Safety Page.(1)set of Energy Forms,R•O•W.Pemtit for new construction. <br /> Minimum ten(10)wrorlitng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sartttely FacOtties F:1<IumpsaBr.ffil�V1odc'Phrmit'f6ta11'new prajecti.ASS commemlldl requ!rgments must meet complierlce <br /> SIGN PERMIT Abech(2)seta of Engineered Plane. <br /> PROPERTY SURVEY required for all NEW construction. <br /> D_I"or <br /> tions. <br /> Fig out application completely. <br /> Otvnor E Contractor sign back of application,notanzcd <br /> If over$2600,A Notice of Commencement ie requirod, WC upgrades ovor 37600) <br /> e l: Ca'(4r;'.!;C....^.!L^.,.....:PC.•^,i4!QtC.. ,,...- ..M....o�.., . ., - --- --- - <br /> � <br /> OVER THE COUNT aR PER611TT1NG (copy of contract required) <br /> Rearofs if shingles Sewers Service Upgrades A/C -Fences(PloUSurvey/Footage) <br /> OtA,awar-Not.ovarCounteN6on publioreadways:.needs ROW- <br />