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Building Department <br /> Date Received r�mactfbrp" <br /> Phone <br /> Owners Name rc ,1-4q PAZ Owner Phone Number <br /> Owners Address ,3 MroCq#qNrvT.i tj eik. Oworph.eNumber <br /> i <br /> Fog Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address A <br /> JOB ADDRESS /_tfle— Loro <br /> SUBIONISION PARCEL <br /> (011TAINED FROM PROPERTYTAX NOTICE) <br /> RWORK PROPOSED N CONSME� ADDIALT SIGN M DEMOLISH INSTALL REPAIR <br /> PROPOSED USE = SFR comm OTHER I <br /> TYPE OF CONSTRUCTIONBLOCK FRAME STEEL = I <br /> DESCRIPTION OF WORK 1A1,VM1_Lq UO IV O.,r pV Sotpp pplUgL �VdTF <br /> BUILDING am SO FOOTAGE "EIGHT <br /> 6z . . . . . . . .. . . . <br /> BUILDING VALUATIONI OF TOTAL CONSTRUCTION <br /> �jELECTFUCAL AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PWMSING IS <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING M 'SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY [VrVrAj -, OUM REUEll1P> k 7 <br /> SIGNATURE REGISTERED I Y/ N I FEECURREK LELN J <br /> Ad&SSS JVfjd <br /> view FV IV C Vr �LW&Wd <br /> ELECTRICIAN COMPANY V-6�Z sagg h-ealagcR' I <br /> SIGNATUREREGISTERED I Y/ N I FEacuRREN /N I <br /> A.M. 1�1,00 Id.dANAM Avr "PA-1 r-61?'0fj& <br /> PLUMBER COMPANY F <br /> SIGNATURE F7 REGISTERED YIN I FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY REGISTERED <br /> ECURREn =SIGNATURE <br /> Address UCemro#F <br /> OTHER - <br /> COMPANY SIGNATURE REGISTERED I YIN I FEECURM LILN J <br /> Address i License <br /> 11111111111 IIII'll I off fill 11111til fill <br /> RESIDENTIAL A%3ch.(2)PictPlans-,(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perm far new construction, <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit forsubdivisicnallarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page.(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal data. Required onsde,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Ol.ctigg <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authortdng some <br /> I <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerooft if shingles Sewers Service Upgrades A/C Fences(PlattSurvey/Footage) <br /> Driveways-Not over Counter if an public rcadways-needs ROW <br />