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Building Department <br /> Daft Received Phone CordactflarPerrafftiho I(q 13 ls-nn 0(0-3 q <br /> Owneft Name 91139CC A 0 LS Owner Phone Numb <br /> 0..6.e.Md.. I j s r Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Fum iq-m ST. 17-i-FeALwoELLS LOTO <br /> SUBMS10114 i PARCE11.10#1 CZ-7-IB-21 -019 0. 176006-0391) <br /> (.13T.Mm FROM PRoperry TAX.0.110E) - <br /> WORK PROPOSED AOO/ALT <br /> R NEwTcAQLNL7R 'REPAIR SIGN = Q DEMOLISH <br /> PROPOSSO USE = SFR 0 !Comm OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK E3 FRAME STEEL <br /> 1; <br /> DESCRIPTION OF WORK 11ALERUALWAL OF h k6OLMOWU PHO' SOL R PftlCt <br /> BUILDING SIZE 80 FOOTAGE C HEIGHT <br /> ISZ. . . . . . . . .. . . . . . . .. . . . . ­7 or 9 1 . . . . . . . . . . . .Ir. . . . . . . . . . . . . . . <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> EELECTRICAL -ff AMP'SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> =MECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Imatr 56I,ag Aj:V WPM. <br /> SIGNATURE RECASTERED I Y/ N I FEMCURROA L YIN- <br /> > 'Address "VAI W, "Al AVE. Mmootq I License#Effijea&I L/0 <br /> I­ -rit \ toA par-16iig <br /> ELECTRICIAN COMPANY IV <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI\ I Y/N I <br /> Add.. [VAP W.U86M& AVIC License If I F cl 1)till UTLI F1 <br /> PL <br /> UMBER j COMPANY <br /> SIGNATURE 7 REGISTERED YIN I FMCURREA L)UN <br /> F7 <br /> Address License At <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN I FMCURRB LYLN J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE i REGISTERED YIN I FEE CURRIE.\ LZI N j <br /> Address License#F <br /> 111111111 Its I I I I III fill I III,# $ all ##gills 11111111rioll is <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:,V)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dke. Required onsits,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsfiarge 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 d4ta. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.AD commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$7500,a Notice of Commencement Is required. (Alp upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorkting same <br /> OVER THE COUNTER PERMITTING (copy of contract requir4d) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plat(Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..neec4 ROW <br />