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F�����2 <br /> ... .~...�" City of UsPe�D�/\upUcaUOn ` <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name -Ir�m nc =01A <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION PARCELID#[j� 71 i7sk(_b <br /> (OBTAINED FROM�ROI?EkT��TAX NOTICE) - <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL F—] REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK �FRAME- STEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT ' <br /> [--lBU|[0NG VALUATION OF TOTAL CONSTRUCTION <br /> �����R0� ��aB�{E �� PROGRESS ENERGY �� W.R.E.C. <br /> ^__- <br /> F--7pLU| INKs <br /> F--l�E�HANk�\� <br /> �--� VALUATION OF MECHANICAL INSTALLATION 0 � <br /> [--lGA� [—�J^ ROOFING �—� SPECA\LTYF--1 OTHER <br /> ���� ��� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__]YEG NO <br /> BUILDER o��P�NT <br /> SIGNATURE REGISTEREDL_l���_J euonwmc* LIL_N__j <br /> Address Uoonoo# <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE e�) nseISTsnso LYl N_J pE7Ecunne^ LY-1 N_� <br /> Address License# <br /> PLUMBER CoMPANY <br /> SIGNATURE REGISTERED LY_LN_J 'FEEounnsx L����J <br /> Address License# <br /> MECHANICAL COMPANY Ike <br /> SIGNATURE Lo ` L-(2'N_ psscunns^ �[2f/N__| . <br /> Address Lioanse# <br /> OTHER :-:::] <br /> COMPANY <br /> SIGNATURE neu/arsRso LY/ N FEE <br /> Address Licenoe# <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(1U)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Faci(itiau&1dumpstoc Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus aLife (1)set af Energy Forms.R'O4Y Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumoster.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 /> - - - - - - - - - - - - - - - <br /> Fi!|out application completely. <br /> Owner&Contractor sign back ofoppliootinn.notarized <br /> n over$2soo,a Notice pf Commencement iarequired. (A/C upgrades over$7nOo) <br /> ~^ Agent(for thacontrsctor)mPnwernfAttxno�(fbrthnovmor)wmu)dbnonmoonewithnotahzod|atterhomowmeruuthoridngname <br /> OvERTHE COUNTER PERMITTING (copy nfuonhaotrequired) <br /> Remofsifshingles Sewers GomiceUp8nydeo A/C Fenoon(P|o#Gumay/Footoge) ^ <br /> Driveways-Not over Counter ifon public madwayo..noadoROW <br /> ' <br />