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— '-- uDy[t/-8phVrhU\SPerDit Application Fox-D 3-78V-0021 <br /> Building Department <br /> Date Rec�ived Phone Contact for Permitting 1P e_CkUC\1 0 i irtk-0-CA V-korf 00 C-0 OA <br /> Owner's Name �nr Phone Number ct� <br /> Owner's Address[jj6j��_:trlecuDnly- 7 <br /> Fee Simple Titleholder Name Own'er Phone Number F <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SVaoymSxzN PARosLuD# <br /> (OBTAINED FROM PROPERTY_NOTICE) <br /> — <br /> WORK PROPOSED womcomsTx ADD0ALT �--� SIGN F--1 F--i DEMOLISH <br /> |N8TALL �_� REPAIR <br /> PROPOSED USE F—� ' sFR �-� COMM . F---1 OTMER <br /> TYPE OFCONSTRUCTION ���- BLOCK �—1 FRAME r---1 STEELBUILDING SIZE SQ FOOTAGE HEIGHT <br /> [--1 <br /> DESCRIPTION OF WORK <br /> ' <br /> =BUILD}NG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRCAL AMP SERVICE �--1 PROGRESSENERGY F—1 VY.R.E.C. <br /> - <br /> F—\PLUM8|NG <br /> F---}K8EoMAN|�AL VALUATION , <br /> ---' ' <br /> �^ ��'\ <br /> �—�GAS �-�� ROOFING �—l � SPECIALTY F--� OTHER <br /> ~^ 1 « � <br /> ___ ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE3 NO <br /> BU|LmER COMPANY <br /> a\omA3VRE nse/arEnso LY/ N rs:cvxnEu L_l/N�� <br /> Address Unenne# <br /> ELECTRICIAN coMr/uvv <br /> SIGNATURE REGISTERED LY 2N ] esoonREN <br /> Address Licmnsn# <br /> PLUMBER coMpxmY <br /> SIGNATURE xso/eTsnso L_Y1_N_J 'rssuunRsx L_��/N_� <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE 0 ` L�2��_� rEsmunns^ CLL/N_J <br /> Address 2 Lioonao# <br /> OTHER COMPANY <br /> SIGNATURE xso/orseeo L_YLN_J pssounne^ L_Zll__j <br /> ' <br /> Address Liconea# <br /> RESIDENTIAL Attach;q Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms-,R-O-W Permit for new construction, <br /> Minimum ten(1D)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets nf Building Plans plus aLife Safety Page;(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 w/Silt Fence Installed, <br /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(3)sets of Engineered Plans. <br /> -°^PROPERTY SURVEY required for all NEW conotruoUon. ' <br /> Fill out application completely. <br /> ovnnr&Contractor sign back of application,notarized <br /> n over$25oo^a Notice of Commencement iorequired. (AIC upgrades over*75on) <br /> ^^ <br /> Agent(for the contractor)or Power nfAbnmsq(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Rnmofsifshingles Sewers Service Upgrades A/C Foncee(z{ot/8umey/Foota8e) <br /> Driveways-Not over Counter ifon public modways..naadoROW � <br /> ' <br /> �^ <br /> ` ' <br />