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. .. viLy vi I-WP iyi i un0 i <br /> Building Department <br /> late red . ..; 2U20 <br /> b <br /> Phone Contact for Permitting <br /> II <br /> )wnei's Name PI L)+( tAo nj r C'0 n>` )C .11 G Lz Owner Phone Number .� 14�1 '•J 0 ItD <br /> )wner's Address I 2Uu2 S. FQ Ilc��ll�ufL �/ itlQ,(vf ft?rs� L Owner Phone Number <br /> 'ee Simple Titleholder Name /A Owner Phone Number <br /> 'ee Simple Titleholder Address N A <br /> iOB ADDRESS dl%ddl 51� tIL Z�! �fl/�1� L LOT# <br /> IUBDIVISION 00VVI; �S" PARCEL ID# ✓IC/' _LJIG�1._Zua)_O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> PORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> r_1 INSTALL R <br /> REPAIR <br /> 'ROPOSED USE ® SFR 0 COMM = OTHER•: <br /> YPE OF CONSTRUCTION 'BLOJ1CK Q FRAME STEEL /Q <br /> )ESCRIPTION OF WORK L�t)6 fi^l.�G i�jy� ��F"I'm/b <br /> 3UILDING SIZE �7�� SQ FOOTAGE Jam" /Cam° HEIGHT <br /> =BUILDING $ n e� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> =1NISHED FLOOR ELEVATIONS d i FLOOD ZONE AREA =YES NO 3 <br /> BUILDER COMPANY �(� - 101VL-xl) 1:LL <br /> SIGNATURE REGISTERED Y/ N FEE CURREA LY.LN <br /> lokfl.S� G�� /i� i/C' 1(�e/�/�il)l�"�3 J ;—License# �GIa�P4Ul�� <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE y REGISTERED Y/ N FEE CURREN, Y/N <br /> �� 1 hGl 1CL ''7vR� a/I"-� L License# Ce/2 �?/`J <br /> Address <br /> PLUMBER COMPANY Eky:) <br /> 66 P6m <br /> SIGNATURE REGISTERED J Y/ N FEE CURREN Y/N <br /> Address 3l 3 3 �/GJI/�GG�i1 i�G 31.E 745 License# ,d 6 f /a Ta_7 <br /> MECHANICAL COMPANY /gUIVS <br /> SIGNATURE REGISTERED Ly/ N FEE CURREN Y/N <br /> 9/3 DGn qv." RSA?,FL 3 q(P&7 License# / J Zl� <br /> Address /� �/ y� / <br /> OTHER <br /> COMPANY J� " �`��/`�`d <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address I lg3l l✓/ Dlt License <br /> 111111 .111111111119111111tlllllllllllll1111111_[II, Ililllallt� llllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;;"R-O-W'Peimit for new constru iori•,, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstructionPlans,Stormwater Pia g 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 /> 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. (AIC 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 A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />