Laserfiche WebLink
<br />(\ 'I' <br />t)\Jll(" '5 <br /> <br />~... 2-, <br /> <br />OI",..'c:JiU""U\U.U <br /> <br />vllY UI Ltlp"Y" IllIti rtfllllll ~IU:lUUII <br />Building Depertrnenl <br /> <br />0lII8 Receiftd <br /> <br /> <br />awn. PIIone NuIlIber <br />Owner PIIone Number I <br />Owner PIIone Number I <br /> <br />Owlw"s .... <br /> <br />Owner's Addr8M <br />Fee Simple TIIIehoIder Name I <br /> <br />'~M I <br />Fee SImple TIIIehoIder Addr8M .'''1/1 bA-J ~t Ji;i 2. e ph "a; A It fl. ,3 <;~ . <br />JOBADORESS ... o' vJ~ J-o \Y'o ',0.' ' ~1. I <br />SU8OMSION tz~'i~\~ r) ".,,1 I'r,_l, ~IDI 0'" - .J..(.,. -;..1 . WIO- ()O;oo- U() <br />~ (OBT__PROPERTYTlIXlIlJIlCEl <br />I7'f NEWCONSTR E3 ADDIAlT 0 SIGN D MOVE 0 DEMOliSH <br />t::J INSTALl REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER I <br />TYPE OF CONSTRUC11ON Cd BlOCK D FRAME 0 STEEL D OTHER I <br />.........."'''''''''' ~rG.v? C0~JO"" - f\I\ \?,hUA- \ p,,, 1\ il. ;.~ <br />BUILDlNGSIZE It.-D' 'So' I SQFOOTAGEI 3000 I HBGHT I /6'.5 ~ <br /> <br />1$ -:s ~ , (006 I VAlUATION OF TOTAl CONSTRUCTION <br /> <br />~ 'i 0<< 0 cXJ . I AMP SERVICE <br /> <br />, <br />$ .. <br /> <br />WORK PROPOSED <br /> <br />I <br />I <br />l~ <br /> <br />o <br />o <br />o <br />o <br />~ <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />c;zr <br /> <br />PROGRESS ENERGV <br /> <br />D <br /> <br />W.RE.C, <br /> <br />MECHANICAL <br /> <br /> <br />VAlUATION OF MECHANICAL INSTAllATION <br /> <br />PLUMBING <br /> <br />qD' - <br />oJ <br /> <br />SPEGW.1YD <br />FLOOD ZONE AREA <br /> <br />OTHER <br />CJvES <br /> <br />[;21"NO <br /> <br />GAS <br /> <br />COMPANY <br />IClI:URltIIt:l'l:U <br /> <br />I ~L ~~*~ 5~AljL~~ <br />F{ License. I C,.bC. OS~ I 'i z.1 <br />~~~{!;KA8rQ.iC <br />V/N RE~ VI <br />License. ~D.JINTJ.Jjj,~ I rz.C I ,'3 00 \ ~ b 3 <br /> <br />IUEU\'(\\':) W,\\\o.m'::l ~ .. I <br />I.(.Q..!LJ RE~ N <br />Lic...d I C\= L I L\ a 5(pO J I <br />I <br />I <br />I <br />I <br /> <br />L!L..!'!-J RE CUARBfr <br />Liollnsd I <br /> <br />LX.!..!LJ <br /> <br />BUILDER <br />SlGNAlURE <br /> <br />~ <br /> <br />-> ~ <br />.).. IG \;}-I-~o ~~ /~ <br />wL5p.., ~,....,,-y . <br />'\ :l-j<tj<J <br />.'/ ,",;' PwllBER <br />SlGNAlURE <br />Addr8M ~5ll.( Lt CJ<.5Y t, <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~ <br />2...-\~\\\'::> . R <br /> <br />I <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />IIEQtANICAL <br />S1GNAlURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Addr8M <br /> <br />OTHER <br />SlGNAlURE <br /> <br />L!L..!'!-J RE~ <br />License. I <br /> <br />LX.!..!LJ <br /> <br />A*"- <br /> <br />RESIDEN1W. AItaCh (2) Plot PIIlnIl; (2) SIlls at Building PIln; (1) SIll at Energy Forms <br />Minimwnl8n (10) ~ d8ya eIler sU:mItal dele. Required onsiIe. Consbuction PIonS, SIDIIlry FacIliiIls & 1 dlInpsIer <br />COIIIIERCIAL AItaCh (3) SIlls at Building PIens; (1) SIll at Energy Forms, <br />Mlnimwnl8n (10) ~ d8ya eIler sutIInIlaI dele. Required onsIIe, Consbuction PIonS, SIDIIlry FlICiIIIiIls & 1 d\mpIller <br />AI oommerciIlIl1lqI.IiwmIlnlB must I1IIlIll oompIilInoIl, <br />SIGN PERMIT AIlach (2) seta at Engir.-cI Plens, <br />--PROPERTY SURVEY requi'ed for III NEW oanstruction, <br /> <br />DIreC:IIonlI: <br />AU out application oomplelely, <br />Owner & ConInIctor sign b8ck at eppIication. noBizBd <br />If ....... $2lIGO, . NolIc:e of c..........-It Is..........,.s. (NC upgradas....... $lIlIOOI <br />- Agent (for the c:onractor) or ~ at A!lDmIly (for the owner) woUd be someonewilh noIariz8d IlIller fran - auIhorii:ing ..... <br />OVER lHE COUNTER PERMIT11NG (Front at AppIicaIion QnIv) <br />ReroaIB s--s Service Upspdes AIC Fences (PIolISuNeyIFooI) <br /> <br />DrIv.-,.Nol over CounIIlr If an P\AlllC roacIways.,MIlds ROW <br />