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• Bi;3;�tiat?ozo,,, G'" .of.Ze,ti'fiills°Ferr�iit;4Eplication Faz-s���eo-oozl °
<br /> ' Build'mg:D,epariment '
<br /> Date.RecbWed
<br /> Phone Cantad-for"Oenrnitiing'Doom I=-
<br /> Owners Name "e S, ,Lr ;Gr.- .�Z;�.
<br /> '.a C.1,I�T �5 r-_� -,OwnenP,hotiejN
<br /> ,
<br /> ,own erPhone'Numbei:`
<br /> r- ,
<br /> oeetifn id holder=Name
<br /> -.._ .,,...P .-...,_-.. .._..
<br /> ' c� .a. Owner`Phorre Numbec`"
<br /> Fee SbnpleA'dlehoMe{'ArJdress
<br /> •
<br /> ,
<br /> JOB ADDRESS o�3: ;�GcGv- S'j d' T {;. AfAl s
<br /> -3 _ LOT
<br /> SU6DMSIQN. '' _ P-ARCEL-ID#i
<br /> . _IoerAINEUMOU rrwaEc Y111 NOTICE)
<br /> `.. y
<br /> WOI2K,PROPOSED,' _�" - _ :NE1N.C,O,NSTR;:..-.<- J ADD%AL`T',,.Q- ';SIGN.` 'Q;-:`. ;Q. DEMOLISH.':':'�';_'-•.
<br /> e INSTALL- REPAIFj:.
<br /> PROPOSED USE 0r SFR Q COMM
<br /> TYPE OF.CONSTRUCTION Q 13L06K
<br /> DESCRIPiION'OFINORK' 'N'�G""(':fGr !`�=.I'O�'?=OJ3•��it,Aa' T!?\`-L%: •a:°' -:hr�/7.:�f�. - _ :
<br /> 1 -
<br /> BUILDING;SIZE=. ��� p�iFOOT GE�� IiE1GHT`c -
<br /> -sscs�,<?c=�;=i =-z'c,z,3c i zi-c�zx7CX3L?LjL t{z�wT; -Ic'�c-czs��;cr?e� ��?E''i'?r�?cr �:'an:
<br /> VALUATION'QF.TOTALCONSTRUCTION:•/.".. D r•3/'
<br /> QELECTRICAL QPLUMBING $', r' __. % , .AAAPSERVICE. �e ":PROGRESS"ENERGY,.,'Q :W.REd.
<br /> MECHANICAL Q-- ,_ _ $'" - - VALUATION OF MECHANICAGINSTALLATION.. ,-
<br /> _ `
<br /> aSEC9LlRQOFING'. OTHER::_)
<br /> FlNISIiEOFLOORELEVATIONS`° FLOOpZONE
<br /> - ARF11 OYES Q.'NO,: r
<br /> BUILDER- '' 1' dG' d'`x/K`
<br /> -
<br /> SIGNATURE' r REci:TEREo ;FEE cuRREN ;'yY/N-
<br /> Address
<br /> ELECTRIC44N.
<br /> SIGNATURE".'' ,_..---a.: —.- _------_,-.-_ rit e�i�ritb r Y"/N;C; "FeEcuRriErr,
<br /> Address J•ac 6l'V .'; _64
<br /> _ vi o
<br /> PLU646ER . COMPANY'
<br /> SIGNATUREF 7 REPISTERED Y 7 N FEE CURRMN' uY/N._
<br /> 0
<br /> .. .- rZ _ . A3 > . ,
<br /> sAddress a d
<br /> MECHANICAL COMPANY Q .;�!"/ • - i:7K.- Vr'... f „,e, ':i�irn
<br /> SIGNATURE' F77
<br /> :_......"_ :_- _, .:.",._ REGISTERED I Y/-N N. _^. tEE CU+RRENe
<br /> Address 3 ;6 -,+/t":f'Li!!, J H'rs'�! ../'"b�� 06erise# 6
<br /> OTHER_ ..' ;COMPANY `
<br /> - - ..
<br /> SIGNATUREF k6lo TEdEo :Y/N FEE curiRFii Y/N:
<br /> Address, License#',,..,,-
<br /> RESIDENTIAL Attach.(2)Plot Plans (2)sets of Bmlding Plans;(1)set of Eriergy.Fonns;R-O 1N,Permdiar new construetioii
<br /> 'Minimum ten'(70)*diking days aftersubmrthal date.Regdired onsite;'Conntiuotion Plans,Stonmirater Piads'w/Silt Fence tnstbAd'd
<br /> Sanitary Farlleies..8`1 dumpste�Site Work'PenniGfor sulidNisionsllarge projects
<br /> COMMERCIAL- Attach(2)complete sets of Bwldng,Plans plus a;Life, afetyiPage;(1)Setof,Energy Fogtis;.R-0 W,Pertni4;for new con5tructionj ...,„'.
<br /> Minimum ten.(1.0)working days afte'r.submitfal ired date.Requ bm;ite,Construction"Plans;Stoiinw i Plans w1.Silt Fence histalled;
<br /> Sanitary FacpiUes.8,,1 dumpster:Site WdrkPenriR'for all oeW projects.Ali commerdatrequaements must-meet compliance
<br /> SIGN PERMIT Aiti6lb(2)sets of Engineered Plans.'
<br /> "PROPERTY SURVEY ieq'uued for all NEW,construction."
<br /> --=-----------mi--
<br /> Directions: --------------- -�_
<br /> k.out application completely.
<br /> Owner$Contractor sign baok.of application,notarzed
<br /> If-over 525110,)f Notice of C'oinmencemeniis required.(A!C'upgmdes over$7500)
<br /> Agent(for the contractor)or Power:ofAttomey(for-the owner)Would be someone with notarized letter from owner authorizing same
<br /> 'bVERTRECUUNTER''PERmrfTING (6.6 'bf-contraclrequWad)
<br /> I2eroofs if shi0gles,.: Sewers Servide.UPgrades A/C Fences(Plot/Survey/Footage)
<br /> i- Driveways=N6foJerrCouritei'ifon:puhlio roadways..needs ROW
<br />
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