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Contaot.for Perm-Ittin <br /> :tcr= >t n fym r � Cxasnxrx� <br /> Owner's Nam e LiSA - <br /> Owner Pfl!ione <br /> lumber mbe r <br /> -6 <br /> Owner1s Add r%su )q qSze Owner PILne Iumber C—`_r�V�:_ _.�C.�__ <br /> Fee 13'Imple Titleholder Name „__.____._. ._C Owner Pl one lumber C_���.^�_�M__ <br /> Fee S)Imple Titleholder Address <br /> JOB ADDRESS) C 3 sv LOT <br /> SUBDIVISION PARCEL ID# A*Z_2-G— —_0 &4, <br /> (OBTAINED I:I�OM PROPERTY fAX NOTICH) <br /> WORK PROPOSED NEW CONSTR ADWALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> FeH L El <br /> PROPOSED USE SFR COMM OTHE <br /> SIGN <br /> N <br /> Al I <br /> i-UM I <br /> 0'rHE <br /> TYPE OF CONSTRuvriCIN BLOCK, J= FRAME E­ STEELL <br /> DF.SGIRIPTION Ol"WORK <br /> .._ �___._ ___ _____�. ______'� <br /> 19QFOOTAGE1 HEIG T <br /> BUILDING SIZE ___C -1 [_. <br /> ===;l :P=:"xPq:i= ZZPMZ=TM 44,14, <br /> [_"4BULIDING $V,l VALUATION OF TOTAL.CONS1 RU TION <br /> [­':::]E:L.I:.CTRK'AL. MID SERVICE P OGRESS ENERGY W.R,E:.C. <br /> [_7MECHANIGAL VALUATION OP MECHANICAL INST LIA ION <br /> �T <br /> GAS ROOFING SPECIALTY OTHERw' <br /> FLOOD ZONE AREA ]`(EIS NO <br /> NISHED FLOOR E:L.EvxriONS <br /> .................... <br /> A <br /> IILDE R COMPANY C� Q W Q. —t__b_me C r�3 +� <br /> 3N AT.URE e 1101,3 REGISTERED FEE CURREK <br /> .6- <br /> c4c� I-TO�FW 7. <br /> LIc nne.. <br /> Address 8)a 78 1 r-i--iAn!vLa EL 2-2-97 F <br /> COMPANY C _ ,,,..� _ --—•.! <br /> Y/ N <br /> REGISTERED FEE FU WR7N Y I <br /> NATUR <br /> # <br /> Addreiis Lic nse <br /> COMPANY <br /> N113ER 4ATUR.. REGISTERED <br /> Lice se it <br /> Address <br /> COMPANY <br /> HANICAL LEGURRE <br /> ATURE REGISTERED <br /> ,Wdres Lloe se# <br /> COMPANY : URREh _1=N= <br /> P­ _ <br /> N E C <br /> kTURE: REGISTERED ICY/i <br /> Liceir-O -H <br /> Wdres,,q +.H+i-i+K+itH-+H+H+H <br /> j++H+P�tt�•H-Hii-H`I+Hi+++i+ (1)set of Sinergy Forms;R-O-W P(milt 4v now construction, <br /> +ENTIAL to,Construction <br /> Attach(2)Plot Plans;(2)sets of Building Plane <br /> Ivllnlmurri ten(10)workIng days afteroubmIttal date, Reppir-90-0111-sl <br /> �Eirmi�f6r-sd6dlvlslollstiEtrgo3 projects I W Permit for new Gbnstructlon- <br /> i durnpi9tdr;slid work �(11)set of Eneqi�Forms, R-0- <br /> IERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page i,Constructlol,iPialls' Storm�yater Plans wl Slit Fence Installed. <br /> fAinimurn ten(*10)working days after submittal date. Required onsit( al req Irements must meet C=Pllance <br /> Sanitary Facilities&1 dumpster. site work permit for all new projects,All complerc <br /> PERMIT Attaoh(2)seta of I"-nolneored Plans. <br /> ­"­pFtOI2E:RTY SURVEY required for all NEW constructlom <br /> ;ins; <br /> I out application coml)10telY. f application,notarized <br /> vner&Contractor sign back 0 <br /> e n <br /> )ver$2500,0 NOtIcO Of Commencement Is required. (A/C upgrades over$7500) fro YJ 0, <br /> would be someone with notarized loter fro n owner authorizing same <br /> ent(for the contractor)or Power of Attorney(for the owner) <br /> HE COUNTER PTI:RIMITTING (front of Application Only) <br /> if shingles Sawars Service Upgrades A/C Fences(Ptovsurve.y(rootage) <br /> veways-Riot over Counter If on public roadways..needs ROW <br />