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ate RBGe1Ved v� ) (�I — kJ '46� <br /> c� Phone Contact for Permittin �-�(�l <br /> -n-irl>--n -n- <br /> wner's Name i� t C �; (�m—c ��'I� )i:(.(� LL C Owner Phone Number <br /> wnai's Address A_4 ' Ild�c� ' l ( iV4ifG j t' G Owner Phone Number <br /> ae:SimpleJitleholder Name / A Owner Phone Number <br /> ae Simple Titleholder Address ./.A <br /> OB ADDRESS (�i DD�S ' /s �l 33��/� LOT# <br /> UBDIVISION V °� Q J�SIi PARCEL ID# <br /> (OBTAINED.FROM PROPERTY TAX NOTICE) <br /> /ORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> ROPOSED USE ® SFR. Q COMM ] OTHER <br /> YPE OF CONSTRUCTION ] BLOCK 0 FRAME STEEL C7 <br /> ESCRIPTION OF WORK G(J �•l).n 5 fi r.�G. (�I") r _5/� `� .i6'�! <br /> 'UtLDiNG SIZE ' ��D�� SQ FOOTAGE"" HEIGHT 7 <br /> i 11 d I <br /> =BUILDING $ � � VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ p/j OD- - AMP SERVICE PROGRESS ENERGY 0' W.R.E.C: . <br /> lit �J1,L.{Le. r�GcC� <br /> =PLUMBING <br /> =MECHANICAL $ /' ` OD VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F-_J SPECIALTY E� OTHER <br /> 'INISHED.FLOOR ELEVATIONS ! FLOOD ZONE AREA =YES NO <br /> u��ryo n��n an n n"e n u ■ n_n__n—u n���, • n a n __ _n n� n a _• n s n n n n / u—n o n ■ n ,_ <br /> 3UILDER '00,0000MPANY <br /> >iGNATURE r REGISTERED Y/ N FEE CURREN Y/N <br /> Address ?!� i/1 S.T !l JttIZ�. �� 1(/��1�/eCC)���y 3J License# 106c Ia L,.0f <br /> 3LECTRICIAN COMPANY <br /> §IGNATURE REGISTERED Y/ N FEE CURREEN Y/N <br /> Address l t(2 `7lYG�� C1/ � [- License# GC. 3v� � J <br /> PLUMBER COMPANY V M 6 1 po r t <br /> SIGNATURE / REGISTERED Y/ N FEE CURREf\ Y//iN <br /> Address 3133,3/�� ��r/`tGG00,FG�J�7 �J License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> 1, 1d5zr1, License# ? 3 2 <br /> Address f. <br /> OTHER COMPANY <br /> SIGNATURE pp REGISTERED Y/ N FEE CURREN YIN <br /> Address /9l/J/�//� l�r` ZG) ICE, 37 License# <br /> � 000g0 '.0.0g000' UgUU !) AOOOOR0g0UUg'0tl0Ug00gU0ggOgg00000g0g0g0g'Ag' Uang up: g00 <br /> RESIDENITIAL 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.Peri•nit for new construction..: <br /> -.Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater_Plans w/Slit 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 /> Directions:.. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250%a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor).or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />