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Building Department <br /> )ate Received <br /> Phone Contact for Perrr)itting 264 <br /> 11111 fall _ 1. <br /> a�.v:, ,i's Name. P ��T �d ftG1 N Owner Phone Number �SZ'S'0 -otb8 <br /> ^ v,rr's Address ��1�' 1177, 51 Owner Phone Number <br /> -ea Simple Titleholder Name Owner Phone Number <br /> :ee Simple Titleholder Address. F_ <br /> JOa ADDRESS S 7 j tTk Sr ZeFAAyA;r1S �F2. LOT#x !;—7 <br /> SUBDIVISION PARCEL iD# J-26-21-pp j 3 Go -C1c)5" <br /> (OBTAINED FROM:PROPERTY TAX NOTICE) <br /> fK-,tWPROPOSED NEW CONSTR ADDIALT ® SIGN Q Q DEMOLISH <br /> 'fir'•' INSTALL � REPAIR <br /> }^;R ?FOSED USE Q SFR Q COMM OTHER <br /> tlfPattF CONSTRUCTION �, BLOCK 0 FRAME ® STEEL Q <br /> gE�CRIPTIONOFWORK 1:105TA%1 I If,Fdf� L1'r_AA;d1iv ' Fettle w;77, I - 11'(Avr+1k3A1e <br /> BUILDING SIZE SCt FOOTAGE HEIGHT <br /> F ILDING , $ VALUATION OF TOTAL CONSTRUCTION <br /> j g3s'.gg <br /> `ELECTRICAL AMP SERVICE, Q PROGRESS.ENERGY 0 W.R.E.G. <br /> n,,=PLUMBING S <br /> ' MECHANICAL. S VALUATION OF MECHANICAL INSTALLATION <br /> :=GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS _ FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 4 ^ 1:3tre Ce I--t- '=- <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y./N <br /> ,:Address r�Cs f� :X ' Cby-' Ai�1 t=u- License.# - 1 -1' t <br /> r:t. ,.S-TRICIAN COMPANY <br /> ^�IGNATURE REGISTERED Y 1 N FEE.CURREA <br /> ,-Address License# 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREt4 Y/N <br /> Address License# <br /> pAE HANICAL COMPANY <br /> SIGI..4ATURE REGISTERED YIN FEE CURREN Y/.N <br /> dress LicenseV. <br /> # �� <br /> COMPANY <br /> ''Its.ATURE REGISTERED Y J N FEE"CURREA Y 1 N <br /> Address License# <br /> 11. 1lAIII ili111IIIIIII111111IIIIIIIIIIIIIiIIIIIIItltlli111 .1111111111 <br /> F ES,,IDf-_,NTIAL Attach(2)Plot Plaits;(2)sets of Building Plans;(1)set of Energy Forms,R-O-W Permit for new construction,. <br /> minimum fell(10)workit�da s afer*ui liliiil LialL. Reflii3u-urSrts,- ro nSlU:llUiaitf: 3�iriiiGa, <br /> Sanitary Facilities& 1 dumpster;Site Work Permit,for subdivisionstiarge.projects <br /> COMMERCIAL Attach(2)complete sets of Building Flans plus a.Life Safety Page;0 j set of Energy Forms:R-O-W Permit for new construption. <br /> Minimum ten(10).working;days after.submittal date. Required.onsite,Construction Plans,Stormwater Plans wi Slit Fence installed, <br /> Sanitary,Faciiities R 1 dumpster.Site.Work Permit for all new projects.AJI commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ROPERTY SURVEY required.for all NEW construction. <br /> wtir'::;talons: <br /> JII out application completely: <br /> '.'f,Owner B Contractor sign back-of:eppiicatlon,Lnota fzed <br /> -' If over$2500,4 Notice of Cortinlencement Is..required{ (A/C upgrades over$7500) <br /> Agent(for the contractor)dr Povier` of Atto7ieyforttie'owner)would be someone with notarized letter from owner authorizing.same <br /> OVER THE COUNTER.PERMITTiNG --,-((i6py"of conlract^required) <br /> Rercofs if shingles .Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not otter Counter if on public roadways-needs ROW <br />