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. uity[t /gphvrh\\\G Permit/\op\\CEtiOO Fax-81 3-780-0021 <br /> / Building Department <br /> 'te Received <br /> a Phone Contact for Permitting <br /> Owner'sName bx�al nc- Owner Phone Number <br /> Owner's Address TA 3S owner Pho-ne Number <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS N:6 <br /> SUBDIVISION' Fu"� D- a V�U� I�' ARCEL IDO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF7 ADD/ALT SIGN DEMOLISH <br /> E�` INSTALL REPAIR <br /> puupuuEuuuE L \ Srn L_� COMM � � ".^=" <br /> TYPE OFCONSTRUCTION �-��' BLOCK 7--1 FRAME �--7 STEEL <br /> DESCRIPTION OFWORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUiLD\NG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIoAL �--\ PROGRESS ENERGY F—1 YYJR.E.C. <br /> =pLUMBKVG <br /> F--1 <br /> VALUATION ur MECHANICAL INSTALLATION <br /> F--lcAS ROOFING �-� � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA i_]YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED UV N]' FEEcuRREN LY/N] <br /> Address License# <br /> =-LEuTRCi&N COMPANY <br /> SIGNATURE . nsmeTcRso I // N-]` FeEounns^ <br /> Address <br /> . . <br /> :'LUMBER COMPANY <br /> SIGNATURE REGISTERED ' FEEbuRnsx <br /> Address License# <br /> �ECVA0/CAL COMPANY <br /> 3\aNATURE nsa|ursxso FLounnex`J ` <br /> Address <br /> )THER COMPANY <br /> HoNATURE mso|or�mso rssouxes� <br /> Address Uonnao# I cc <br /> ZES0E0TAL Attmch(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 /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsliarge projects � �� ' <br /> ,OMMERCUy' A�eohp4 complete o�oof Building Plans | a�fo�afe�Page;(1)set nfEno�y'Foi_�n.R,6 �enn/�fbr�aw��noUnnUon. <br /> Minimum ten(10)working days after submittal date. Required nmsite.Construction Plans,Stormwater Plans w/qiltFonce installed. <br /> Sanitary Facilities&1d Work Pm � �m � all new pr���.aUcnmm����q��m��mu� �m� �mpUo�e <br /> xGmPERM|T /�ach(2)o�snf Engineered P|ans. <br /> "~PRJPERTY SURVEY required for all NEW construction. ' <br /> Fill out opp|inntiogcompletely. <br /> Owner&Contractor sign back nf application,notarized <br /> If over$zsno'a Notice qf Commencement isrequired. (VC upgrades over$750O) <br /> ' Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized <br /> letter from owner authorizing same <br /> /VER THE COUNTER PERMITTING (copy of contract required) <br /> mmofs if shingles Sewers Service Upgrades A/C Fonoeu(P|oUSumey/Footage) <br /> . ' <br /> Driveways-Not over Counterifon public modvayo..naodsROW ' <br />