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%.Iry or cepnymtus rermit/-\ppucation rax-tsi3aso-uoz1 <br /> Building Department <br /> Date Received / <br /> Phone Contact for Permitting 13 5 " <br /> aaaaaaaa aacaa �( q <br /> Owner's Name Do loves pocz r`r r as Owner Phone Number "30 I-C13 -I <br /> Owner's Address 5315 Y l in Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number / <br /> Fee Simple �-c Titleholder Address �— r <br /> JOB ADDRESS 5315 K(n - A-•' v' Y A l s T L 3354 1 LOT# <br /> SUBDIVISION16"Virplel PARCEL ID# 12-2(0-2.1"b zo- 00o�.0-C)00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME = STEEL = <br /> ns aW( T 5o1Ctr S; 5 Mi it riff rS <br /> S DESCRIPTION OF WORK OJ.� ,YOO M 11J'� tr, a <br /> r BUILDING SIZE SQ FOOTAGE HEIGHT <br /> T -rrt rrr1[-c-c T .IL <br /> =BUILDING $�/„I Q' VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SER I� � <br /> C _ PROGRESS ENERGY Q .�W,.,R..�E.C. <br /> g Glr J� l DuCy UU <br /> =PLUMBING $ ! ` al <br /> p{ ` DIP <br /> �VJ .=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r` <br /> 66 <br /> =GAS = ROOFING Ej "'SPECIALTY = OTHER ff w <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO v� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address t L,ic�ensse# <br /> ELECTRICIAN �L f COMPANY l���a� G• �0(�l L L� <br /> \ SIGNATURE REGISTERED (� Y/N. FEE CURREN I <br /> r�Y/N <br /> v Address (} 360 j l License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N 'FEE CURREN L <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# -/ <br /> OTHER f' ^�i7 F COMPANY too rl jLLQ <br /> SIGNATURE (��/// REGISTERED p Y/N F E CURREN I Y/N <br /> Address l � / License# VC570 q <br /> ialiiil[.1aa11.1a1 k a.1aaaIaiaiililfi.tl-il.iailli■[1.ia_aa'ali111il1ii:iilall�al <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(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <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 /> Dlrecti=: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING , (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> ConAo& EwtcLi I , 0.Aan rcwJ2 eSOJ��e��5 yl c)�rlr.�. COv►�1 <br />