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NOE41 C& <br /> Date Received ..! qq LP a <br /> Phone Contact for Permitting 1( Z <br /> ....... ...r--M:Ll=U---- <br /> X� <br /> Owner's Name, Owner Phone Numb <br /> Owner's Address Owner Phone Number [_�_ _ ^� <br /> Fee 8"Imple Titleholder Name • Owner Phone Number <br /> Fee.33Imple Titlehold:or Address <br /> I� <br /> JOB ADDRESS A <br /> LA . L9(3)2- TIs542 <br /> LOT#i I <br /> SUBDIVISION PARCEL 7 <br /> C�� D#F - - -I 20 - - '(beTAINED FROM 1)RnP0iTy 6 TM NOTICE.) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN �DEMOLISH <br /> El INSTALL REPAIR <br /> PROPOSED USE SFR comm OTHER <br /> TYPE:OF O-ONSTRU6,-riCIN BLOCK J= FRAME: STEEL <br /> DSSG IRIPTION oi°w6RK gePloqte I Loa& V,ji7 7 W*I(VJO LA) (A N i TS ft 4-4 4, <br /> cvzy tj 4.. <br /> T <br /> BUILDING SIZE I5QFOOTAGE= —1 C�__�� - 1-fAc HEIGHT <br /> 4BUILDING $ 05,-32 (q VALUATION 01:TOTAL,CONSTRUCTION <br /> ELIECTRIC AL. $ AMID SERVICE PROGRESS ENERGY W.R.E.0, <br /> [-7PLUMBING, <br /> 7MECHANICAL $ VALUATION 01:MECHANICAL INSTALLATION <br /> ri� <br /> GAS ROOFING SPECIALTY OTHER <br /> :INISFIED FLOOR ELV)krIONS FLOOD ZONE AREA =]YES NO <br /> ff+f-ftHttftftit-ttII--I 1 f Fft+F .... ...it!I I hit I I I I i I I' tH-ti-ti+Htf+�+mitff"+Hi-FH-FH-t+Ft++tH-i <br /> A 5A <br /> WILDER CC) PAYS E —O-kLe-5 140me Ce2oTf-ig r �I? <br /> —L--TFW'� FE E CURREN <br /> tl i !- <br /> 1 4�- 7—S <br /> tIGNATURE- REGISTERED Y j( � <br /> Address 0>t -rcs 19 C?-3 ANJ iPL License# 64C. IS--06W 7 <br /> ILECTRICIAN COMPANY [ i' ___,._ __� � <br /> 4GRATURE REGISTERFD FEE.'T CURREN <br /> Address License <br /> LUlYI13ER COMPANY <br /> -77TTE- <br /> F: <br /> IGNATURE-1. REGISTERED Y�— F:FrURREI,-7 N <br /> Address License 11 <br /> IECHANICAL COMPANY E <br /> IGNATURE REGISTERED —[_—]L/ N T— FEE CURREN I <br /> Address License# <br /> THE:Ft COMPANY E <br /> IGN,'OtTURE E- REGISTERED 7=/ N T- Fr-E,CuRREN --I—Y7 N-7 <br /> Address License# <br /> ++H-f �;i-f I t i i 1 1 11 I+f+l I 1!1 1 2!6 1 i -f+w-H+fi+wi+ ii-HI 11i i it 1 H-f+t- <br /> ESIDIENTIAL 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/Slit Fence installed, <br /> Sani <br /> tary Facilities&1 dumpster;.Site Work Permit for-subdIvIsIons/large projects <br /> DIVIFAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set'of Energy_Fqrms, R-O-W Peftlt for new <br /> - __- - - - -Installed,al Minimum ten(10)workIng days after submittal date,-Re4dlidd-ohilfi),Construction Plans,St.c)r.mwate�l?finsW/Sfff-r-i-n�e led,- -. <br /> Sanitary Facilities&I dumpster,Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> GIN PERMIT Attach(2)sets of IEngineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction, <br /> rectlons: <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> 10 over$2500,it Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> /ERJHE COUNTER PERMITTING (Front of Application Only) <br /> trool's;If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Dilveways-Not over Counter If on public roadways.,needs ROW <br />