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%-A Ly V 1 GCLJI lyl 111110 17 GI 11 IIL J1I.JI.JII1-C LIIn 1 <br /> Building Department <br /> ite Received <br /> Phone Contact for Permitting <br /> wnee' Name Lt.l+C 1.6J11 C GU I�)G�.11 c:' LLB Owner Phone Number ��j—�14�"61 <br /> wnees Address 4w1 2 S,:Fa lkiliigw q I _Nv dle Z Owner Phone:Number <br /> :e Simple Titleholder Name A Owner Phone Number <br /> :e Simple Titleholder Address.. I v/ . <br /> JB ADDRESS Z�j�) ) J �f/ LOT# <br /> UBDIVISION:: D��S Q 1 S�C' PARCEL ID# � '-Z( -al) <br /> (OBTAINED FROM PROPERTY TAX NOTICE): <br /> 'ORK PROPOSED NEW CONSTR ADD/ALT SIGN Q. Q DEMOLISH <br /> Tq INSTALL 8 REPAIR <br /> ROPOSED USE 0 SFR 0 COMM OTHER <br /> fPE:OF.CONSTRUCTION ;K BLOCK Q FRAME j�STEEL <br /> ESCRIPTION OF WORK <br /> UILDING SIZE r/!// J SO FOOTAGE �Y HEIGHT <br /> =6UlLDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> t <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 3& <br /> =GAS Q ROOFING ,0 SPECIALTY = OTHER <br /> INISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES 'NO <br /> ,UILDER COMPANY . G�Le' /V✓%� IGLr'l <br /> IGNATURE du , I I <br /> / REGISTERED Y 1 N FEE CURREN L1//N� �l <br /> Address ��15:>LGL� /lea f?rC' J i ��=L;'J ` License# ���11� <br /> ;LECTRICIAN COMPANY cJGuL�� L�l/ �G <br /> ;IGNATURE: REGISTERED Y/ N FEE CUR REP Y/N <br /> l ha 1a_ 61} fir r <br /> :Address License.# GC.�2 <br /> 'LUMBER COMPANY.: <br /> ;IGNATURE REGISTERED Y/ N FEE CURREr,. 1. Y/N <br /> Address.. 3/33N� 3 J,1Ji1d&ei iFZ 347Y6 License# C �%/ T: ? <br /> MECHANICAL COMPANY <br /> ;IGNATURE REGISTERED YIN FEE CURREN <br /> R/3 oewl r1�rur,: gs��1,.FL 3 N' �� . <br /> Address License# <br /> )THER COMPANY <br /> REGISTERED Y/ N <br /> ;IGNATURE FEE CURREA Y 1 N <br /> Address l iq�l Am n Dr. eiJ Gil /cI1 `���J 3y License <br /> 111,.11'141 ,11111101l1 � i1 � 11 � 1 � 111111 � � FI11111I11111IiI1411111, 1.1 � lf .1111 <br /> tESIQENTIAL Attach(2)Plot Plans;(?)Sets of Building Plans;(1)'set of Energy Forms;R-0-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 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects..All commercial'requirements must meet compliance <br /> 31ON PERMIT: Attach-(2)sets of Engineered Plans. <br /> —"PROPERTY SURVEY required for all NEW construction. <br /> )erections: <br /> :Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> lf: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 /> DYER THE COUNTER PERMITTING (copy of contract:required) <br /> Reroofs if shingles Sewers Service Upgrades A/G - Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />