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Owner's Name I c Owner Phone Number <br /> Owner's Address. F (S_ L V S _ �� 14wi('_F Owner Phone Number ' <br /> Pee Simple.Titleholder Name - -` OwnerPhone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Y I g L t't�C16G. 2 V e Z. k,I t LOT# <br /> SUBDNISION PARCEL"ID# . 3S Z$ ' Z/ D"n ]o -o a'0 t)0_ 06 — <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROP.OSED NEW CONSTR'e ADD/ALT 0. SIGN 0 Q DEMOLISH <br /> :E] INSTALL 'REPAIR <br /> PROPOSED;USE 0 SFR Q -COMM 0 OTHER <br /> TYPE`OF CONSTRUCTION 0: -BLOCK = ;FRAME STEEL 0. <br /> DESCRIPTIONOFWbRK'� `o�� OVCX Usvri' ��� �,�jei' �l�fc Meun�r :n� <br /> -BUIL'614 ;SIZE SQ'FOOTAGE •.�38 a. :HEIGHT <br /> i <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =.GAS ROOFING• Q SPECIALTY 0 OTHER <br /> t <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> :BUILDER COMPANY <br /> SIGNAtURE REGISTERED Y•/ N' : FEE CURREP• Y/N. ' <br /> i <br /> Address Ucense;# <br /> 'ELECTRICIAN .. COMPANY <br /> SIGNATO& REGISTERED Y/ N ' "FEE CURREh Y/N ' <br /> License# <br /> P.lUMf3ER?G : <br /> COMPARIY <br /> CURREnSIT Y/ N. , EE <br /> I <br /> Address. License#:; ::.' <br /> 1WECHAMdAL' :.COMPANY,SIGNATURE-ISTERED Y/:N FEE CURREM ." Y'/N <br /> Add%®gW-y I V license.# <br /> -OTHE12`. :: - _ COMPANY. t�C'1. I!. F-'C— <br /> REGISTERED .' -.Y I:N FEE•OURREN r Y/N <br /> 'Address- x Q'(y:_ f C<?�2 i. �3r�`vi L=.jv -License# Fro 3 7' <br /> r <br /> RESIDF�ITIAL rAtta'c3 (1)Blot;t?laris,:(2)jsefs?oI✓BUllding Plans;'(1 jsef of EnergyForms;•_R-O,W Permit_fornew;constiilction,:• <br /> < NUnimurq tten�(10)y�ofking daysaft®tsutimittal.:date: Require e onsite;Construction Plans Stomi.Water Plans w/Silt Fenceiristalled; <br /> Sanitary7Faciliti®s�&s,1�,dumpsteC,;S(fel_.W�rkPermit:for:subdivisions/farge'proJQcts.:, . .. <br /> i <br /> `;COMMERCIAL Atta65(2)complete'sefs of-BullalwPlari's""plus a Llfe Safety'Page;(1}set of Energy Forms.R-O-W Permit for new construction: <br /> Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed, <br /> Sanityry-Facilities,4:1 dumpster.Site Work Permit W-*6II=n6i:projects.All commercial requirements must meet compliance <br /> 1. <br /> SIGRI::I?ERMIT -Atiko ij2)se`tseof Er)gineered PI`aris- ., <br /> °'°'PROPERTY SURGEY, egulred for alI.NEW construction:._ <br /> _ _ <br /> - - <br />