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City OfZ8phVFh\U �S P8O0Anp\\C3ti F�����20D 1 <br /> Building Department <br /> . . <br /> Date Received Phone Contact for Permitting �7_ I <br /> Owners Name 1 -b R �64m �g Owner Phone Number C-A <br /> Owner's Addressl I,romt)y, 17d 33� 3�L Owner Phone Number F_ <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION PARCs D <br /> (OBTAINED FROM <br /> WORK PROPOSED mewcommRR ADD64[T �--1 SIGN F--| F—1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [--1 . SFe [--\ Comm �--� OTHER <br /> TYPE OF CONSTRUCTION BLOCK �-� FRAME �---1 GTEEL F--� <br /> DESCRIPTION OF WORK ev) <br /> BUILDING SIZE I I SQ FOOTAGE ZkO HEIGHT <br /> =BU|LD\NG VALUATION OF TOTAL CONSTRUCTION <br /> =ELE{TlaCAL AMP SERVICE �--� PROGRESS ENERGY �—� vv.R-B.C. <br /> =PLVMB\NG <br /> �--\�ECHAN|�AL MECHANICAL <br /> �-_� VALUATION , . <br /> =GAS F—R� ROOFING F—| � SPECIALTY | | OTHER <br /> FINISHED FLOOR ELEVATIONS IM FLOOD ZONE AREA =YES NO <br /> BU|LoEe COMPANY <br /> SIGNATURE nsoISTsReo L��_�_� pe'ov«nE^ LY/N_J <br /> Address 1 -7Unenoo# co sat) <br /> ELECTRICIANI C) co�pmvr <br /> SIGNATURE nso/arEnso L��_�_J pssconnsN L�L!NL_� <br /> Address Ummee# <br /> PLUMBER uo�p�m� <br /> SIGNATURE neaIa/sRso LY2_N_J 'Fssounnsx NL� <br /> Address License# <br /> MECHANICAL i2 COMPANY A-IV, <br /> SIGNATUREit REGISTERED E , L�2��� ��ou«�� -C_y/NL_J <br /> Address 3 Ummoo# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED LY/ N FEsCURREN N _� <br /> Address Uoanon# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;�,-O-W Permit for new construction, <br /> Minimum ten(io)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-D-W Permit for new conobnctinn. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered Plans. <br /> ^°"PRDPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over*2snn,a Notice of Commencement isrequired. (AC upgrades over*75VV) <br /> � Agent(for the contractor)or Power ofAttorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs If shingles Sewers Service Upgrades A/C Fenoaa(P|oVGumay/Footagn) <br /> Driveways-Not over Counter ifon public nzadwaya..noedsROW . � <br /> ' . . <br /> ^^ <br /> ` <br />