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- --- LilVot /-ephVrhU\8 Permit Application Fa»8 D-78O-0O21 <br /> . . �BuUdingDopertnan <br /> Date Received F :] Phone Contact for Permitting __C -korhy�, ctm <br /> Owner's Name n C Owner Phone Number <br /> Owner'sAddressl Ma Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS as-sqSSVBmn/mxzN pxRceLm# <br /> . =5.°=E",""M P"","^..TAX NOTICE) <br /> WORK PROPOSED wawcowsTm AooVA [---1 S\GN F--) 7--� DEDEMOLISH INSTALL � ��_] REPAIR <br /> PROPOSED USE �--1 . aFe F-� COMM [---1 OTHER <br /> TYPE OFCONSTRUCTION V' BLOCK F-� FRAME F---� 8TEEL <br /> DESCRIPTION OF WORK "5%mlp (�*ridk4 re <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ' <br /> i--1BU|LQ}NG VALUATION OF TOTAL CON8TgUCT��N <br /> [--lELECTF8CAL AMP SERVICE �--� PROGRESS ENERGY �-� VY.R.E.C. <br /> =P4JMB|NG <br /> =MECHANIcAL VALUATION OF MECHANICAL INSTALLATION <br /> �--|GAG ROOFING [-� � SPECIALTY �---1 OTHER <br /> / ~ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YGS NO ' <br /> ou|LDEm 000MPANY <br /> SIGNATURE REGISTERED �— <br /> Address Uoanne# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> Address LMO it JA., pkw, License# <br /> PLUMBER ' COMPANY <br /> SIGNATURE REGISTERED <br /> Address <br /> MECHANICAL <br /> SIGNATURE <br /> Address License# <br /> OTHER <br /> SIGNATURE <br /> . FEECURREN _-____~ <br /> Address Lioenae# <br /> xxxxummmuxxnxmmuuxxxxxu`muxox �� nVxuuxxunxDuuuunxnm1xnnon11movxnxommV <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(1O)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;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(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Pence installed, <br /> Sanitary Facilities � : <br /> eo�1dum� � GU Wor <br /> k <br /> SIGN PERMIT Attach(2)sets nf Engineered Pi�ann. <br /> °°°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. ' <br /> Owner&Contractor sign back nf application,notarized <br /> If over$25nu'o Notice nf Commencement iorequired. (A/Cupgrades over$75Vn) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing' <br /> oomo <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs\fshingles Sewers Service Upgrades A/C Fanmm(P|oVGmvey/Fodoge) ` ' <br /> Driveways-Not over Counter|fnu public madvays..nondnROW <br /> ' <br /> ^ . <br /> ` ^ <br />