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city DfZeohvrhi}\s Permit Application �»���OO�OO <br /> Building Department <br /> Phone Contact for Permitting <br /> Owner's AddressR 7- r co nol J-anan 330 9- Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> emnomIS/ow PAmCELm# -30 <br /> . ,_—_-F._`PROPERTY TAX—NOTICE) <br /> WORK PROPOSED E!� wewcowsrn AooA\cr �--� SIGN F--1 F--1 DEMOLISH INSTALL [_] REPAIR <br /> PROPOSED USE �—� GFR �—1 COMM F--� OTHER <br /> TYPE OFCONSTRUCTION BLOCK F—� FRAME [---� GTEEL F--1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =B4LDING VALUATION OF TOTAL CONSTRUCTION <br /> �—�ELE[�R|CAL �NP8EFNYCE F--� PROGRESS ENERGY [--1 YKR�.(� <br /> —__' � <br /> =PLUMBING <br /> �—��ECHANk�� <br /> --- ' <br /> �--l��� F—�� ROOFING �—l � SPECIALTY OTHER[---1 <br /> ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER COMPANY <br /> SIGNATUREmEG/STsRED �Eft C»nnEN LYIN � <br /> Address License# <br /> ELECTRICIAN COMPANY . 5�Aa/RSIGNATURE nEa/orsmso i_y|�N_1 ' pffc0nnsx L_yY«�_� <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE 170 ReaIerEneu nescunnth [_yyN _I <br /> Address # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED « ��y/��_] pesconnsx —r'yiN_] <br /> Address License# <br /> OTHER COMPANY ra <br /> SIGNATURE nsa/arsnEo [`Y/ N_] FF-EconRsN 'L'ylNL_�J <br /> 4uu,mss Ucunsa# <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 wl Slit Fence installed, <br /> Sanitary Facilities&Idumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus aLife Safety Page,(1)set of Energy Forms.R{-VV Permit for new 'conobocUon. <br /> Minimum <br /> us (1O)working days after submittal date. Required onoi1a.Conotruotion Plans,atormwoter Plans vl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial req4imm' ents' must meet compliance <br /> SIGN PERMIT Attach(Z}sets of Engineered P}bns. <br /> ^°"PRJPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back nf application,notarized <br /> If over*c5on'a Notice or Commencement isrequired. (A/C upgrades over*75U0) <br /> °^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter frorli owner authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rmnofs|fshingles 8ewers Service Upgrades A/C Fancom(P|ottGumey/Fnotago) <br /> Driveways-Not over Counter ifun public modvayn.oeedoROW <br /> ' ^ . <br /> ' <br />