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tI13-f5u-uuzu uny of 4epnyrnuis vermit Application rax-ola-iau i <br /> Building Department <br /> Date Received S'Q—C� - Phone Contact:for Permitting - <br /> N <br /> Owner's Name J A 6A/J 7"r Ay- Owner Phone Number m <br /> Owner's Address ^0400o ep*1/1)2 �O �� 33�y Owrier Phone Number <br /> Fee SimplejTitleholderName -0741.144N '57 Owner Phone.Number' <br /> Fee Simple Titleholder Address S7 2c h ✓jtl j J 5� <br /> JOB ADDRESS Flo!Y Z z,,�0A(vjeALC LOT# <br /> SUBDIVISION PARCEL ID#; . <br /> i <br /> y (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW COiUSTR' ADD/ALT 0' SIGN 0 0" DEMOLISH <br /> S <br /> e INSTALL 'REPAIR <br /> PROPOSED.USE SFR Q COMM = OTHER " <br /> TYPE':OF.CONSTRUCTION [ 'BLOCK Q •"FRAME /Q, STEEL Q <br /> DESCRIPTION OF WORK /a Gc 0"s ar /a <br /> s <br /> BUIL611,40^SIZE` 2.7: SQ'FOOTAGE ..HEIGHT .• <br /> ®�t3UILDING $ VALUATIOROF TOTAL CONSTRUCTION <br /> =E`LECTRICAL $ /S-D AMP SERVICE _ �PROGRESS ENERGY 0 W.R.E.C. <br /> i <br /> =R6LUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v <br /> =GAS = ROOFING "Q SPECIALTY = OTHER ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONq AREA =YES NO 14 <br /> 001, <br /> OkAe <br /> I ' <br /> :BUILDER C014RAI _ <br /> SIGNATURE ( T Y"/ N FEE CURREI\ Y'/N <br /> i <br /> Address license* <br /> ELECTRIC..I`AN COMPANY <br /> N SIGNATURE REGISTERED Y/ N -FEE'CURREh j . <br /> Address' - License# ° <br /> PLUMBER. 'COMPANY- <br /> SIGNATURE REGISTERED Y-/ N:, FEE CURREN. Y/N <br /> . r <br /> Address •License#` <br /> MECHANICAL C,OMP.ANY. " <br /> SIGNATURE''.' REGISTERED Y/ N . I FEE CURREN. <br /> Addr®sss r License.# <br /> OTHER _,:::' ::' _ -COMPANY <br /> "'SIGNATURE;:;;:;._: ; 'REGISTERED Y/.N FEE CURREN <br /> Address:->• License'# <br /> " SIDENYLALr s:;Attach`;' : Plof;Plans"'2'sets of Buildi6 -,`Plans'1 set'of Ene' Forms R=0-V11 Perrriit,for neinr'.cons <br /> RE tiuction'. <br /> .<:gsx ,r.r." Minimumsaent(1Q)workliigldays aftetsutirriittal;date:sRequ'ired orislte'r Gorstructlon Plans,Stormwater Plans�w/Silt Fence.installed,. <br /> Sa 1 ryjfjaVlibes l;<1 dumpstar,Site Work fPdrmit for;=subdi.V"ions/16rge.projgcts'.:: '. <br /> ''°:COMMERCIAL Attach°(2)corriplete°sets'of'Butlding'Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit fornew donstruction:' <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomtwater Plans w/Silt Fence.installed, <br /> 8 - <br /> Sanitary Facilities 1 dumpster.Site Work Permit for all"new projects.All commercial requirements must meet compliance <br /> -KSIGN!.PERMIT AttaoFi=(27`sets.of Engineered <br /> `PROPERTY SURVEY.required,for.all,NEW construction:.--------------- <br /> . <br /> Dit®CtlOrls: <br /> -FilffbUt,application completely." <br /> -Owner&:Contractor.'sign:back of application,notarised <br /> If over:$2500;-a Notice-of'Commencement is required. (AIC upgrades over$7500) <br /> {. <br /> Agent(foRW--d`bhtibctor)�orPower'of'Aftomey(for'the owner)would be someone with notarized letter from owner authorizing same <br /> •l;''�OYER'THE�.000NTER FERMI ; <br /> �'.:•:r; E.;_.,.., .TTIN,G:, _(copy of contract:required) <br /> :Reroofs if:shiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Diribeways-Not over Counter if on public raadway9'.needs ROW <br /> ' .-, '�i (�U,i..^!i li4Yj :!;%f>i�ii ?,S .I�`S fiA^• e,,a. <br /> ,. •- ;li,l:�4iFi:��faf;rClvJlfi!'i9f:+.'r `.,;. <br /> <A•c?FXsk�.R�S�?a''sc'°��'Dsefii°:.ti;......- -.... -- <br />