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<br />tfl,j- (VV-VVLV <br /> <br />\....lIlY UI L-C;pIIYIIIIII~ . ""I II In. I '''''''''''11_-'''_1' <br />Building Department <br /> <br /> <br />I <br />I <br />I <br />Loo LOT# I /0'Z I <br />PARCELlD#12L/-2Co -21 -00 30-()O()OO~ I <br />(OBTAINED FROM PROPERTY TAX NOTICE) \ (p "2-0 <br />o SIGN D MOVE D DEMOLISH <br /> <br />[2J <br />o <br /> <br />Date Received <br />11111111111 <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br /> <br />Owner Phone Number -7 ~3 ,)t./ 7 7 <br /> <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />Et <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />0o./,{ fY7oc1e~ <br /> <br />BUILDING SIZE /3 '13 8sQ FOOTAGE I HEIGHT I <br /> <br />11111111111"111111111111111111111111111111111"'11111111111......11..1..1.11..'1.11....1..............111111111.1111.1111111..111111..11111111111 <br /> <br />1$ /5,000,GO <br />1$ 500,00 <br />1$ 2);0. 0 (, <br />1$ 7S0. 0,') <br />D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br /> <br />I VALUATION OF MECHANICAL INSTALLATION s\ ~ <br />. P:J~ / rJCf'(\1l- <br /> <br />D SPECIALTY 0 OTHER Po (00 c.- / <br /> <br />I FLOOD ZONE AREA DYES QNo <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br /> <br />D <br /> <br />ElUILDING <br /> <br />D <br />D <br />D <br /> <br />D <br /> <br />AMP SERVICE 150 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />cz6 <br /> <br />WR.E.C <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />GAS <br /> <br />ROOFING <br /> <br />III t I .. I " I <br /> <br /> <br />BUILDER <br />SIGNA TUHE <br /> <br />Addmss <br /> <br />ELECTRICIAN <br />SIGNATUHE <br /> <br />Addmss <br /> <br />PLUMBER: <br />SIGNATURE <br /> <br />Addmss <br /> <br />MECHANIGAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Addn~ss <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />PROGRESS ENERGY D <br />Ct7YVY" - O~ <br />'T\~ - D~ <br />(20L - ../ <br /> <br />18u-f-fe/1feJ d fI HS <br />I Y / N I FEE CURRENT . I Y / N I <br />License # 1/11 0 600 () fO <br /> <br />1,8u-f1e/ f,t.rd uo.l1c!e/ / <br />1 Y / N J FEE CURRENT I Y / N I <br />License # I {; R 60/2 q /0 <br /> <br />16u-f-le r-[e.Jd fIJ /"1\ <br />I Y / N I FEE CURRENT --==r Y / N I <br />License # IIJ-!()OOOO ~O <br /> <br />I ~tthr 'J <br />Y / N I <br /> <br />FEE CURRENT I Y / N I <br /> <br />License # I tA CO Lf3 9tj~ <br /> <br />Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Addn~ss License # <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111 <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 (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 (3) 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 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II1111 i 11I111II1I111111I11111 <br />Directions,: <br />Fill out application completely_ <br />Owner & Contractor sign back of application, notarized <br />If ove!r $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />