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B13-7!lU-~U~U I.JllY UI Lt/JI'Y'IIIII~ I GIIIII. ,.,..,,..,"V......V. I Building Department Jr it De:} Fee Simple TltIeh~lder Nam I Owner phone Number 5~ner phone Number/ Owner Phone Nu~b~r I JOB ADDRESS LOTti f, rh;fk FL- 3:351.fJ- . PARCELlD#/IO-J.h-J..J-OO/D-OCf-BOO-OODO (OBTAINED FROM PROPERTY TAX NOnCE) SIGN 0 MOVE D OTHER r- STEEL 0 . D NEW CONSTR C:=J' ADD/ALT D D INSTALL CJ REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTR~CTION D BLOCK D FRAME D DESCRIPTION OF WORK I SCre&1 . u..nd-er eXish"nq carpor T BUILDING SIZE . ., 13 '/. fA 5 I SQ .FOOTAGE I ./ 3 J- 5' r:p I HEIGHT I . . . . . . . , . . . I . I . I . . . ~ ' . , . . . . . . . . . . . , . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . o BUILDING 1$ J" J.. 0 0, Q.Q VALUATION OF TOTAL CONSTRUCTION I. o ELEGTRI<CAL 1$ o PLUMBING 1$ o MECHANICAL 1$ c=J GAS D FINISHED FLOOR 8LEVATIONS I SUBDIVISION WORK PROPOSED DEMOLIsH OTHER I I ,. I AMP SERVICE t=J eev-..c'tl.-t'" ^ b Lo -I- if- W.R.E.C. PROGRESS ENERGY D ~\~- VALUATION OF MECHANICAL INSTALLATION ROOFING SPECIALTY D FLOOD ZONE AREA D I , I I I I I I I I I I , I . I , I I I ~ I I I I I , , P . I I I I I I I I I I I I I I I , . I . . . I I I I . I I I I I . I I I . , I I I I I , I . . . . I , I I I I I I I , I . I . , . ~ . I . . . I I . ." , I . . . I I I I . I I I . . I I I . I I I , I I I I I I I I I I I I I I I ~ I I ~ I DNO BUILDER SIGNATURE JOf) Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address I : ! ! : COMPANY REGISTERED PLUMBER SIGNATURE: COMPANY REGISTERED Address MECHANICAL I SIGNATURE Address OTHER SIGNATURE Address OTHER DYES Owner 61,"5''0 I Y IN. FEE CURRENT I Y/N I I I I I I I I I I License # YI N FEE CURRENT License # YI N FEE CURRENT License # YI N FEE CURRENT License # YI N FEE CURRENT License # Y/N Y/N Y/N Y/N RESIDENTIAL ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) !iet of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster ~II commercial requirements must meet compliance. SIGN PERMIT .4.Uach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for alj NEW construction. 111111111111111111111111111111111111111,1.11..1.1111...1.11111.....II."IIIII.lllllllllllliiiillllillilll.ililllllllillllillliilllilliiliiiiliiiliii Directions: Fill out appllcatioll completely. Owner & Contractor sign back of application. notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $50(0) .. Agent (for the co tractor) or Power of Attorney (for the owner) would be someone With notarized letter from owner authorizing same OVER THE COUNTE PERMITTING (Front of Application Only) Reroofs wers Service Upgrades Ale Driveways Fences (PloUSurvey/Footage)