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Date Received <br /> fl-flons,Cnnfaf-f forPArmlff <br /> �— . ) Q< <br /> 31 <br /> Owner's Name Owner P one lumber -1- -z-91 <br /> Owner's AddressC wnerHonsNumber C-,_ _ <br /> Fee Simple I'll Isholder.NamsC -mm uct IT/ !�"Owner P one lumber <br /> Fee Simple Titleho Ida 0,dcl ress <br /> JOB ADDRESS C. LOT# L b -_- .� <br /> SUBDIVISION PARCEL ID# <br /> � - t.00 A'Q44rip � ._ _�_ ___ _ :�::� <br /> (0 STAINED 1:1,om I:::ROPERTY TAX-q6mc 1:) <br /> WORK PROPOSHI) NEW CONSIA ADD/ALT F--] SIGN E-1 DEMOLISH <br /> El INSTALL. '-_� REPAIR <br /> PROPOSED U13E SFR Comm F— o"rHE <br /> 'EE'i- <br /> STEE,TYPES OF (','ON8TRIJ0'rI(',IN BLOCK FRAME. <br /> DESCRIPTION OF WORK <br /> ISQ 1*00TAGE HEIG T BUILDIN( SIZE [_ _ ___� <br /> BUILDING VALUATION OF TOTAL CONSTRU TION <br /> ]E:LI*-C:7RI0,AL <br /> AMP SERVICE P OGRESS ENERGY KRJ: <br /> ]PLUMBING <br /> 7MECHANICAL $ VALUATION 0F MECHANICAL INST Ll ION 2—"0cf <br /> ROOFING SPECIALTY OTHE <br /> INIISHED FLOOR E:LEVNriONS FLOOD ZONE AREA Y r-MIS NO <br /> tH+ttt+H 11-1111HHHH-11iiiHif <br /> UILDER COMPANY C WOK (ne S W .:_ __..� <br /> Lc <br /> REGISTERED FHE CURREN <br /> IGNATURE A <br /> Address 15- ANj, ca A- 32g7bt LIc n,,16# <br /> -ECTRICIAN COMPANY <br /> GN.ATURI:.* REGISTERED Y N FEE OU RE <br /> Address' Lla. ns <br /> �-- .^ ,--�.___---. —_._..J <br /> .UN113E:R COMPANY F <br /> 3NATI REGISTERED Y I N ME CURREN <br /> Address Lice so# <br /> :CHANICAI+. COMPANY <br /> 3NATURE REGISTERED <br /> ........... <br /> Address Llrel so <br /> HER COMPANY ��..�—,_.._.,__ .__._._.._—�.. _^.,.1 <br /> REGISTERED Y/ N 7 F-FU R REh <br /> Address Lice so# <br /> ii-i-f +Wf+l-H+Hi*t11 i ti I i f+H-H+i+I+!I I I i I +f-H-H+1-F4i+f-H- I"t H+H+H+H+1 1+4 H,I, <br /> 3101ENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E nergy Forms;R.O-W P(milt f I,now construction, <br /> (AnImurn ton(10)working days afterIlUbmittal date, Required onsIto,0 orlstructlon Plans Stormwater Plans wl Slit fence Installed, <br /> Sviltary Facilities&I durripster;Site Work Permit for subdIvIslon. s/large projects I <br /> .-�l ach I of1luilding Plans plus a-LIfe Safety Page; 1*0-of Enerp�Fc)rnikj.-R�02v*V-Perrnit-fcirmw—cb-n§I!Udtl-oti.- <br /> __—�4M,ERCl/ L—Att, ,-M-complete sets t <br /> Minimum ton(10)working days after submittal date, Required onsito,Construction lolls Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities.&1 dumpster. Site.Work Permit for all new projects.Alit comrn.erc of req Irernents must meet compliance <br /> N PERMIT Attach(2)sets of 1-2-h-gineared Plans. <br /> --vstoof-RTY SURVEY required for all NEW construction, <br /> FIII out application 00MI)IOtelY. <br /> Owner&Contractor sign back of application,.notarized <br /> H1 over$2500,a Notice of Commencement Is-required. (A/C.upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized lot er fro n owner authorizing same <br /> RJHE COUNTEM:PI:RMITTING (Front of Application Only) <br /> off;if shingles SAW01's Service Upgrades A/C Fences(PIot1Survey/F*ootade) <br /> Driveways-Not over Counter If on public roadways.,needs ROW <br />