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J <br /> - "-"""' lrrly UI LCI.JI IyI r IIIIJ r"CI i I Ill/11.JE.111LclllVl 1 raw-o�a-�ov-uv�i <br /> Building Department <br /> d Phone Contact for Permitting ) of — 72 <br /> r <br /> 1 me Pl t t IU n1 c Cv IA )Gt.l1 I, �L Qwner Phone Number <br /> Iner's Address 2UU2 S, Fa ivellburej uI f lwf, I" � Owner Phone Number <br /> --ee Simple Titleholder.Name 'Owner Phone Number . <br /> =ee Simple Titleholder Address <br /> JOB ADDRESS �U'IJ ,11"Ur� DDLi�J lti���t �I Si FLU �J�J"f Z LOT# F7 I /7 <br /> 5.UBDIVISION O��S 0 )�S� PARCEL ID# O —2P— 2 I'0I zo— — ZD <br /> (OBTAINED FROM PROPERTY TAX N TICE)' <br /> IVORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH <br /> ® INSTALL 8 REPAIR <br /> 3ROPOSED USE ® SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION 'BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE t SQ FOOTAGE b� HEIGH = <br /> =BUILDING $ VALUATION/EE <br /> RUCTION <br /> =ELECTRICAL $ J AMP SERVIC PROGRESS ENERGY- .0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ LUATION L INSTALLATION' <br /> , h <br /> :=GAS = ROOFING Q ECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS + FL D ZONE AREA YES NQ <br /> BUILDER COMPA Y �� � �C l� /, tz <br /> SIGNATURE REGISTERE Y/.N FEE CURREN Y/N <br /> Address ������ nr� l��iv0e�i '3 License# GIJGI�IY Vf <br /> ELECTRICIAN COMPANYG{ <br /> SIGNATURE . / REGISTERED Y/ N FEE CURREN Y/N <br /> Address l �j�-� ` License# ECl`'�D(��J?/�,� <br /> PLUMBER COMPANY / 1 <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N <br /> Address 31-2, �/�f��fL l Fz--3478`� ticert\e# l- I Ala T,��3W� 7a <br /> MECHANICAL COMPANY �lGi7�S �il l U`CG/(/IIII!/1Gjl f'J <br /> SIGNATURE' REGISTERED EN Y/N <br /> f(/3 I7GntLsY7 A711� R5�1,F(� '� .(P(p-7 License# <br /> Address <br /> OTHER COMPANY ��"D �" " C�✓l// <br /> SIGNATURE REGISTERED Y! N FEE CURREN <br /> Address - /Ig31 1m;-) A-) 6111) O/14 /G/1 rzi-3416 License# �iI3��g3 <br /> tlrlArtlrrrarrlrllrr161arrlrlrlrllrrarltfrrrlrararitllrirl.l_'Irll ! [ IaIY . <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 w/Silt Fence installed, <br /> Sanitary Facilities&1 durnpster;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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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 Engineered Plans. <br /> *'''PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C 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 AIG Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.-needs ROW <br />