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������� <br /> [}dVOfZeohV[hi\)8per�l�AopUCa�OO <br /> Building Department <br /> Date Received' Phone Contact for Permitting C_0�06ACMCAY-kOHWI CV" <br /> Ed is E <br /> n r Owner Phone Number <br /> Owner's Name <br /> Owner's Address --- �����e <br /> Number <br /> _amp 33 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> . <br /> muBomlauON PAmCE- Eo# <br /> ~__--._—_PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED wawoomsTx ADD0ALT �--� SIGN, �—� [--| DEMOLISH <br /> \NGTALL �_\ REPAIR <br /> PROPOSED USE �—� � aFm �—1 COMM �--1 OTHER <br /> TYPE OF CONSTRUCTION BLOCK �—1 FRAME [---� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE <br /> 0S VALUATION OF TOTAL CONSTRUCTION- <br /> �--lELE[TRC8L AMP SERVICE �--1 PROGRESS ENERGY [-1 YY.R-E.�� <br /> ___ <br /> =PLU| <br /> ^f�7\ <br /> � <br /> �--|MECMANk�\L ON <br /> =GA; F—le ROOFING F—l � SPECIALTY | | OTHER <br /> FINIS HED FLOOR ELEVATIONS FLOOD ZONE AREA F---\YE8 NO <br /> 8VILoER COMPANY <br /> SIGNATURE nsoISTssEo LY1 N peecumRE^ L_yLN_� <br /> Address Linense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nso/arsmeo ` PTE—m)aneN \ <br /> Address <br /> PLUMBER cc MPANY <br /> ai�N»JVR� xso/srsmso LY _N_J 'psEounnsx L�YIJ <br /> Address Licenre# <br /> MECHANICALCOMPANY <br /> SIGNATURE REGISTERED « �^�,�_] RsEounnsx —y^`Y/Ni] <br /> Address ) Ummvo# <br /> OTHER COMPANY <br /> SIGNATURE mEG/arsmED LY/ N FEecunREI`\ <br /> Address License# <br /> x_u'm <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(ID)mmdkiing days after submittal date. Required nnoUo.Construction Plans,S\onnvwate Plans v/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atfach(2)complete sets nf Building Plans plus aLife Safety Page;(1)set of Energy Forms.F-O4m Permit for new c*onstrucUpn. <br /> Minimum ten(10)working days after submittal date. Required onaite.Construction Plans,8hxrmvmyter Silt Fence Installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach p4 sets of Engineered Plans. <br /> "°°PROPEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner @ Contractor sign back nf application,notarized <br /> n over$2suo,a Notice of Commencement isrequired. (AJC upgrades over*75Vn) '' <br /> � ` <br /> Age��xthe oonhado�or Power ofAUomo�(for the owner)would be someone with notarized letter frorli owner authnhzlng`�ome�_ / <br /> OVER THE COUNTER PERMITTING (copy mf contract required) <br /> Remofs if shingles Sewers Service Upgrades /VC Fomoeo(P\ot/8umey/Fnotugo) ' ` <br /> Driveways-Not over Counter-if on public modvaye..needsROW <br /> .�^ . <br /> ~ - . <br /> ` ' <br />