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I \ <br /> e r� <br /> • $4:t.711f1•nn7rl C..N."of Ze.hyrhlllc r'•.�.r.`eiti d rcr.lr.,nrinn <br /> ar.,j.c,,.s !- <br /> -Building Dapariment {� <br /> Date Recelvod P.noaaContaG-foe•Permittiag• 0'v� <br /> n u- n I a <br /> Owneft Name Owner Phone Number <br /> Orjner's Address Owner Phona Number <br /> Fee Simple Titleholder Name I Owner Phone Number i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I� \ h{'+ LOT;, <br /> SUBDIVISION C �_ PARCEL ION <br /> i (ONAI EDPROMPROFPRiYTAXNUnCBI <br /> WORK PROPOSED n NEW CONSTR® ADDIALT Q SIGN Q DEMOLISH <br /> (� INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK <br /> --�^n FRAME STEEL <br /> DESCRIPTION OF WORK -e c—o -�^� �• � �. <br /> BUItOiNGStZE 'SOFOOTAGE HEIfrHT C� <br /> QBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL �� AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> ,PLUMBING <br /> =MECHANICAL $ - VALUATION OF MECHANICAL INSTALLATION <br /> { GAS Q- ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREA /N <br /> Address t' - - - -------------—a UCense#1 ELECTRICIAN l COMPANY <br /> SIGNATURE ctEGtSTEREIT Y7'N' FEECtIRF N 'YT N- - <br /> Address License B <br /> PLUMBER COMPANY r\McCAA - y„ar use apt 411 <br /> SIGNATURE REGISTERED rriy-_ Fee GURR5t Y/ <br /> Address 7 ^— <br /> U-moo d • � o <br /> MECHANICAL iCOMPANY - <br /> SIGNATURE 1 REGISTERED I_YIN FEECURP-MI, L YlM ! <br /> Address License it <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N Fee cliRREn I Y I N <br /> Address License S <br /> rerrrrrrrrerrrrrrerarreerrrrrrrrrrrerrerrrrrrrrrrrerreeeerererr � � rr <br /> RESIDENTIAL AltPah 121 Plnl Plan—r?)FAIT.of puilrrnn Ftarta:(1)set of Enemy Folry�c;17.7y_tA/pr mSL fnr ne4r rortslrurtinn, <br /> RAnimum ten(10)woridng days after submittal date. Required onsite,Construction Plane,Storrntnter Plans ty/Silt Fence Insmiled, <br /> Sanitary Facilities lF 1 dumpster.Site Work Permit For subdivisions/large projects <br /> -00111MERCUIL Attach M complete sets of Building Plans plus 0 Life Safety Page:(1)set of Energy Forms,R-O-W Permit for new construction. <br /> Minimum ten(10)woridng days after submittal data. Required onsite,Construction Plans,Stonnvrater Plans w/Silt Fence installed, <br /> Skrtitgry FacillilAs t£'I'dumpster.Sit%Wdr c'Permif r atfilevi pro ef?.c,AN`commerclel requ(ryments must meet corrigance <br /> SiGN PERMIT A(tadr(2)eels of Engineered Plans. <br /> "-PROPERTY SURVEY required for all NEW construetion. <br /> • o !„ar 8vr �1.�.� <br /> Directions. <br /> Fili out application completely. <br /> Owner E Contractor sign back of application,notadacd <br /> if over$2E00,a NoUco of COmmoncemollt is raquirod, (AiC upgrades over$7800) <br /> Agent n roc.: ,.,. :c r yam... ,.,_�^7.�^". •:a' .may'(`3rlh� ,.a rn 4Lt:c,3ia:n411u.:$ruc�- <br /> a: <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools if shingles Sewers Service Upgrades A/C 'Fences(Plo0urvey/Footage) <br /> Drivai4ay"ol-overCounter-Ifon Publioroadrays:.needs ROW- <br />