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Building Department weemi6qW)fUA-0 <br /> Date Received F 0&3q Phone Corftct for to�tb 'It <br /> o..e.N.. 1YPWr7_ 5(,Qtr' owner Phone N.:", <br /> Owners Addrewl_7690 ,i9tVChV 01[414,k-Phone Numbor <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 57og'q s-rbvpqWb6 69A)64 ALVb . LOT# <br /> SU13OMSION F_ PARCEL io#1'06--2(e-2/.0/00-'6,0700- 01q6 <br /> r741 (OBTAINED hI PROPERTY TAX NOTICE) <br /> Pc"N""IR <br /> WORK PROPOSED NEW ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF commucnOhl = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK FTIV MILaTTIVAI OF QM 9-)4 Q ON—1EZl IV 9009 K7S VS I <br /> BUILDING 80 FOOTAGE HEIGHT <br /> zaZi 9E'-BUILDING VALUATION OF TOTAL CONSTRUCTION, 11 1-7 "' <br /> C;5ELECTRICAL 157 <br /> . 1 ro rq AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION /� �. <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1vrV_r&1r SMAW bFV <br /> SIGNATURE REGISTERED I Y1 N I FEE CURREt+ L)U-N J <br /> Address ['51,00 M(J-1ANAZY9 A V IIOR License is F613 1)0&7 Ll 6 <br /> ELECTRICIAN COMPANY F—W Ur J)1�5v COP N <br /> SIGNATURE REGISTERED I Y/ N I FESCURREN LjLLN J <br /> Address [_'Vav dANAM Rvrf rpf-fr License III <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN I ie&CUMUF' <br /> YtN <br /> Address License F T <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGISTERED I Y/ N I FEECURREA <br /> Add. F_ License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN FMCURRZ\ <br /> Address License#F T <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Ptarw,(1)set of Energy Farms:R-O-W Permit for new construction, <br /> Minimum ten(1 a)worfring days after submittal date. Required onsit%Construction Plans,Stornwrater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsitarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plane plus a lire Safety Page:(1)set of Energy Farms.R-O-W Permit for now construction_ <br /> Minimumten(10)worldng days after submittal date. Required onsits,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all now pmjects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required far all NEW construction. <br /> . . . . . . . . . . . . . . <br /> Ol..0 <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over V500,a Notice of Commencement Is required. (A/C upgrades over$7500)- <br /> Agent(for the contractor)or Power of Attorney(for the awner)would be someone with notarized letter from owner autharong same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remoft if shingles sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways-needs ROW <br />