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010110U-UV4V Vity VI Z—VpI I y I I III1y3 I VI IIII�r.J,1 ..vaw alum <br /> ` Building Department <br /> Date Received 13 I Phone Contact for Permitting I LJ O <br /> Owner's Name C J e O1' e 1 1 ej �' Its,' f Owner Phone Number l83 a` 'l <br /> W <br /> Owner's Address I- " I of "���Ak r' t Y\t`l� Owner Phone Number '. <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderrAddresstt-y <br /> JOB ADDRESS V/�V { S v� l {4` Ut t� yt 11 S T LOT# tJ <br /> SUBDIVISION 11 V�,f Oo S PARCEL iD# 03�a -�,� IJ8J,8 . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN MOVE DEMOLISH <br /> El INSTALL e REPAIR j, v <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION - Q +BLOCK 0 FRAME STEEL OTHER <br /> DESCRIPTION OF WORK (e-iroo� 3589 W 31)t Ql l e S oa(,-P- <br /> OM V-1 <br /> BUILDING SIZE { SQ FOOTAGEI !_� HEIGHT �� : v1 <br /> BUILDING $ ( LC, (} 4 VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP.SERVICE PROGRESS ENERGY W.R,E.C• <br /> PLUMBING $ t0 <br /> MECHANICAL $ VALUATION OF MECHANICAL WSTALLATION <br /> GAS OOFING 0 SPECIALTY 0 OTHER C/ <br /> FINISHED FLOOR ELEVATIONS" FLOOD ZONE AREA DYES =NO , <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/`N FEE CURRENT <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# . <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address -- — - License# 1777. - -~ <br /> OTHER f t COMPANYSIGNATURE REGISTERED I rV/ N ' FEE CUkOENT Y N <br /> Address 3LP-t f J Is License# <br /> RESIDENTIAL Attach,(2)Plot Plans;(2)sets of Building Plans;(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 /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects . <br /> COMMERCIAL. Attach(3)sets of-Building Plans;(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 /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects:All commercial requirements must meet compliance' <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "***PROPERTY SURVEY required for all NEW construction. <br /> Directions; <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />