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Building Department <br /> Untie Racotifed _j 7T <br /> PhomeConiact for Pend 51.5 "i's / . <br /> Ownaft Name . . . .Owner 40Phone Number r1 2S <br /> Qwriads AddressslaBLE hLELM AJE. owner Phone Number <br /> Fee Simpille Titleholder Name F7- owner Phone Number <br /> Fee Simple TilleftolderAddress <br /> JOB ADDRESS 190M.0 509RLT JAIULI ii--ZrP1-19DJr6ATffi <br /> SUBOMSION E=,rP4 bd JP PARCEL 109 <br /> (OWAIKEDPROPERTYTAXWnCE) <br /> WORK PROPOSED NEW CONSTRR ADO/ALT SIGN r-1 OEMOUSH <br /> R INSTALL REPAIR <br /> PROPOSED USE 0 SFR p COMM OTHER I <br /> TYPE OF CONSTRUCTION p BLOCK p 'FRAME Q STEEL =] r— <br /> DESCRIPTION OF WORK 1rAJVM-1.1qrZQA1 <br /> BUILDING SIZE SO FOOTAGE "EIGHT <br /> . . . .. . . .. . . ... . . .. . . . . . . . . . . . . . . . . .. .... <br /> BUILDING 14 L/I VALUATION OF TOTAL CONSTRUCTION <br /> 16LECTRICAL $ * AMP SERVICE p PROGRESS ENERGY Q W.R.E.C. <br /> I Apa <br /> =pLumaING 1 3 <br /> =MECKWCAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS p ROOFING p SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOO ZONE AREA [ YES NO <br /> . . . . .. . . . . . . . . . . . . ... .. . . . . . . . . . . . . . . If <br /> BUILDER COMPANY r a VVAJ r Lne <br /> SIGNATURE REGISTERED YIN I FEECuRREN LILM 1 <br /> Fr-r - <br /> 'Address 9zo W.)41glyAtiq "4vr—1 j Lici '?00t1-7 .q <br /> ELECTRICIAN COMPANY QgLAR <br /> SIGNATURE REGISTERED YIN I FEJ1---CURPEi% L_jLN J <br /> F'�;�11'eo P License#FT-C/:Too(,-7 q <br /> Addmas P V 1:-� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN <br /> Address License <br /> MECHANICAL COMPANY = <br /> SIGNATURE F REGISTERED I Y/ N FEECURREN <br /> Address I ucense#F— <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/N I FEECURREw LXLN 1 <br /> Addr.. License#F <br /> ttttttttttttettttttttttttttttttttttrttttttttttetttttttttttttttttttt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now cortzmuction. <br /> Minimum tan(10)working days altarsubmittal date. Required onsite.Construction Plans,Stomwrater Plans wl Silt Fence Installed, <br /> Sanitary Facifftles&I dumpster,Site Work Permit for subdivislonsilarge projects <br /> COMMERCIAL Attach(2)complete saw of Building Plans plus a Ufa Safety Page;(1)set of Energy Farms.R-O-W Permit for now constructicri. <br /> Minimum ten(10)working days after submittal date. Required onsits,Construction Plans,Stormwateir Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpater.Site Work Permit for d now projects.AD commercial requirements must meet compliance <br /> SIGN PEWIT Attach(2)sets at Engineered Plans. <br /> PROPERTY SURVEY required forall NEW construction. <br /> Ol161611"it. . . . . . . . . . . . ...0 <br /> Fig out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over Mae,a Notice of Commencement is required. (AlCuPgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroaft if shingles Sewers Service Upgrades A/C Fences(PlatfSurvey/Footage) <br /> Driveways-Not over Counter if an public madways..needs ROW <br />