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Buildin6.0epartment <br /> )ate Received ( - w <br /> 2 2S Phone Contact for Permitting S I3 9 <br /> Owner's Name 2� nQd Owner Phone Number - A87- 9/ <br /> :�v kiis Address Owner Phone Number <br /> =o. simple Titleholder Name Owner Phone Number <br /> ;i <br /> =ea Simple Titleholder Address <br /> //�� n <br /> JOB.ADDRESS 7O'T "( V/- h -h��1� r �Z �33�4.Z LOTS <br /> SUBDIVISION. Cr Off* h i llS PARCEL ID# '1 -ZI 0010 05500 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK.PROPOSED R <br /> NEW CONSTR 8 ADD/ALT [� SIGN Q 0 DEMOLISH <br /> 1I� INSTALL REPAIR <br /> 1:. <br /> PROPOSED USE Q SFR [] COMM OTHER <br /> I,rrrc';r' <br /> I"YP�P,61F CONSTRUCTION Q BLOC.K Q FRAME STEEL Q <br /> :�c:�C: <br /> � R <br /> )ESIPTION OF WORK j�-a.0 8910-� Lo ' vl`k J Pa) vas ,O1 e.op&MCe I a+- <br /> : <br /> BUIC"DING SIZE ,SQ FOOTAGE HEIGHT -- <br /> UIL0ING 1' 3/94. /I 1_ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> '�PLUMBING $ <br /> 7 090,6 <br /> ' MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING Q SPECIALTY OTHER. <br /> ;W11aHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> .• ■. • ■ i t ■ f. ! ■ • . ■. 't f._..■.. t. f-. . ■ ■ f ■ • f ■ r e ■ ■ . ■ . . ■ .■. ■. ■. • ■....._■ ■_t_t • • ■ . ■ ■ ■ ■ ■ • ■ ■ <br /> �$ y1+■i..:�r�--�s-r+-•�r■-■� • • ■ • • + err■--•-•- r t - - - --.-r-.-. • <br /> BUILDER COMPANYr- <br /> SIGNATURE REGISTERED —1--y/ N FEE.CURREN <br /> ,Address rya License# -_6:, dv <br /> 32- `o' 7`=S <br /> CuiURICIAN COMPANY <br /> '1( `t7?tTURE REGISTERED Y/ N FEE CURREh <br /> ;? ddress, License# <br /> r'.L P'MBER COMPANY <br /> SJ NATURE REGISTERED Y/ N FEE CURREN Y/N <br /> ,Address License'# <br /> MEGHANI CAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE,CURREN <br /> " Address License# <br /> 'tTl2 r COMPANY <br /> .,.,., <br /> REGISTERED Y/ N FEE CURREN Y J N <br /> rltadress i License <br /> .''i �:,�.1111111111111tllllllll .11lt. i1111I1611111 { Itlt11. 111111111111i11111 - <br /> F+.�:'i�ENTIAL 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.r Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work Permit for subdivisionsllarge projects. <br /> G0P1iM>~RCIAL At!actt.(2)cumnleie sets of f3+Jildinn��Ian�pins., l.ifa SSfr.;t Page:mi s6t rn_Cnerny Forms: R-(?-�^l Permit for new ac:rstruction. <br /> Minimum ten(10)Working,days-aftu r submittal,date: Required onsite,Construction Plans,Stormwater Plans wl.S.1i 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 Erigiriee-red Plans. <br /> ""PROPERTY SURVEY'requireo for all 14EW construction. <br /> .w .✓�`■ ■+w�ri�i�r .L.c.-a�a.�a..a�.�.:-a,..f 2 • • ■ t t ■ t a. ■ ■�f ,■. . ■ ■ . . • t • . . ■ ■ <br /> Dirt; tions: <br /> ;Fill out a lication completely. <br /> Contractor sign back of application,notarized _..., <br /> ei$2500,a Notice of Commencement is required. .(A/C upgrades,over$7500) <br /> gent(for the contractor)or Power of Attomey(for.the.owner)would•be someone with notarized letter from owner authorizing same <br /> .THE COUNTER PERMITTING (cOpy,pf contract requireai,: <br /> if.shingles Sewers. _. . . Servie�,Upgrades AIC Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic•roadways..needs ROW <br />