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- ---- UllyOT/-apnvrhU OO� F�����%)� Permit <br /> �n�\\��fDD � uu*uz1 <br /> Building Department <br /> Phone Contact for Permitting <br /> Owner's Address 3�_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> - <br /> SUBDIVISION PARCsLUD# <br /> . ~-.~INED_._-PY TAX--_-- <br /> VxORKpROPOSBJ wewcomsTn ADOV\[r �--1 SIGN �-� �-� DEMOLISH <br /> | \ INSTALL E REPAIR <br /> PROPOSED USE = , aFR [--1 COMM �--1 OTHER <br /> TYPE OpCONSTRUCTION [-�q- BLO:K F-� FRAME F---1 GTEELBUILDING SIZE SQ FOOTAGE HEIGHT <br /> F-1 <br /> DESCRIPTION OF WORK <br /> ' <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �--lELECTR\C8L AMP �--� PROGRESS ENERGY [--1 YY.R.E.C. <br /> Lot <br /> �_� <br /> =PUJMoiNB <br /> [--��ECH�Nk�� MECHANICAL <br /> �-� -- <br /> �--lGAS F��� ROOFING [--l � SPEC|ALTY �--� OTHER " <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nsomrsnEo LY/_N_ FEEtp»:mEa LZI N__J <br /> Address Lioanse# <br /> ELECTRICIAN COMPANY Eler <br /> SIGNATURE nsG/orexso LY/ N pescuRasN LS= <br /> Address License# <br /> PLUMBER COMPANY <br /> 14�SIGNATURE REGISTERED N 'FsEcunF�Itl\ LY/N I ~^ <br /> Address License* <br /> MECHANICAL <br /> SIGNATURE REGISTERED ` L����-| FEEounncx N-� <br /> Address � License# <br /> OTHER ooMpAwv <br /> SIGNATURE xeaaTsmso L_Y/_N_| Fssounne^ L_II NL_�J <br /> Address du 3 License# <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(1n)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsliarge 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(1O)working days after submittal date. Required nnaNa`Construction Plans,Stonnvat rP\anovl8iltFnnueinata@od` <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 /> Fill out appUcatinncompletely. <br /> ovmer&Contractor sign back of application,notarized <br /> If over*2sUo^a Notice of Commencement ismquimd. �JC upgrades over$75V0) <br /> � <br /> AOent(fxMmconhoctor)orPowarofAttome�(forthnovmer)wmu|dbeanmeone*ithnutadzed|eMarfromovmerauthoridngmema <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Romofs if shingles Sewers Service Upgrades A/C Fmnmm(P|ut/Sumey/Footage) ^^ <br /> Driveways-Not over Counter ifon public madmmym-needsROW <br /> ' . <br /> ` ^ <br />