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:. .,.. zGNnyllulw rt:llrrnLHN Building Department . <br /> )ate Received <br /> Phone Contact-for Permitting <br /> Owner's'Name t`o+f- :110ML CUM OGEE (-Lt✓ Owner Phone Number . ��j="11!'� ''5I��j �.µ. <br /> 2UU2 S Fa-l4nbunq � il,{erili'ei,� i <br /> 7wner's Address J Owner Phone Number . <br /> Q <br /> =ee Simple'Titleholder Name i Owner Phone Number :. <br /> Fee.Simple Titleholder Address= l�C <br /> y� [ r <br /> JOB ADDRESS' JJ r� WO � �I ' ' r 'J Z LOT# <br /> SUBDIVISION R Vls D �S"� PARCEL ID#- Oq _ZLR- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK:PROPOSED . NEW CONSTR ADD/ALT SIGN. = Q DEMOLISH <br /> ® INSTALL 8 REPAIR <br /> PROPOSED USE : 0 SFR. 0 COMM OTHER <br /> TYPE OF CONSTRUCTION :'BLOCK [� FRAME STEEL = <br /> a / <br /> DESCRIPTION OF WORK �W C'U�:SGLL]Il' <br /> nr <br /> BUILDING'SIZE 1 SQ FOOTAGE a J HEIGHT' <br /> =6U1LpiNG VALUATION OF TOTAL CONSTRUCTION . <br /> =ELECTRICAL, $ AMP SERVICE . 0 PROGRESS:ENERGY = W.R.E.C. <br /> tnyr5 <br /> 771 0"PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION. <br /> ---�I ROOFING GAS , ', SPECIALTY : <br /> _ 1 0 ECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS r FLOOD ZONE AREA- ES NO <br /> BUILDER COMPANY " GL l�l G �♦rI M'� .(iC tom' <br /> SIGNATURE REGISTERED LY/.N FEE CURREN: LX.LN <br /> __: <br /> Address 10��� " �� /!h�u i l ilenli l ,'J�J License# <br /> y iJn <br /> ELECTRIGIAN COMPANY � � Cii/C <br /> SIGNATURE .: ' REGISTERED Y/ N = FEE CURREN Y/N <br /> 7 070j <br /> Address License, FFe 3 ? eJ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y L.N FEE CURRENY,/fN <br /> Address 3133 3 r;lnL � �I�G3L� 7�5 License# �%�.`7a7a 1 <br /> MECHANICAL COMPANY /�/� (�5AY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN t <br /> /3I7Gn-t�Yl -l;. �'Sta1;FL 3�1cPl�?; , <br /> Address License# 32� " <br /> OTHER. COMPANY. . <br /> SIGNATURE. REGISTERED Y/ N ' FEE CURREN <br /> Address License#. : . <br /> _ <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 wl Silt Fence installed; <br /> Sanitary Facilities&1 dumpster;Site-Work Permit for subdivisions/large projects <br /> COMMERCIAL : :Attach(2)complete sets of Building Plans plus a"Life Safety Page;(1)set of Energy Forms..R O-W"Permit for new construction. :,, <br /> Minimum ten(1.0)working days-after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <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 aII:NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> 'Owner&Contractor sign back of application,notarized <br /> if over$250D,a Notice of.Commencement is required. (Alb"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 /> OVER THE-COUNTER PERMITTING'. (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) :. . . <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />