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o IJ /oU - UULU '.. vi .ci.Jl 1 1111,1 . v...na vsisa.w..v.. Building Department i (� 114 3 1 . • IU Date Received , 1.0' 0 Phone Contact for Permitting Z IS -- Y 9,,S Owner's Name AM C -FI 14S LL C. Owner Phone Number 03-723 - 3 Owner's Address OW W L ' C a / v i e l b e ' k R fli Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address J I JOB ADDRESS J / 1 t C . h a...7/0 U L 4 i) e- I LOT # 2 '") SUBDIVISION MC�I e.� G 0 a t., PARCEL ID# 2(c -co te � ?Q J (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED F1/' NEW CONSTR ADD /ALT 1 I SIGN I I MOVE 1 1 DEMOLISH INSTALL REPAIR - PROPOSED USE 1 SFR I I COMM I I OTHER I I TYPE OF CONSTRUCTION I 1 BLOCK � I I FRAME I I STEEL I I OTHER 1 416hi /t- J ' u'/ I T DESCRIPTION OF WORK Ct '4 / N - hd . ( Se /Cp BUILDING SIZE /3 x 3 $ SQ FOOTAGEV7 L7 HEIGHT BUILDING $ l0, J VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ 2-6,(`' AMP SERVICE 1 I PROGRESS ENERGY W.R.E.C. I I PLUMBING $ % J CJ /1 n .) I I MECHANICAL r2s , VALUATION OF MECHANICAL INSTALLATION GAS 1 I ROOFING I 1 SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I,_-4 d de BUILDER `- , f !^ COMPANY 8 r/t-- :F le�={-e�' el 1 P SIGNATURE c -� �� c - � :I REGISTERED I Y/ N I FEE CURRENT / I Y / N G Address !o3 ( / 66,f / R41 7tihc,, , t I (U 1-3 Z License # 1/ % U O? ELECTRICIAN � COMPANY £j1_,1 trig l / eI f'i U SIGNATURE c ;..+ REGISTERED I Y! N I FEE CURRENT I Y/ N Address 6 ?335 ?-t-4 4 Cl z 33C` 0 Q � License# tR £O ` /2 �O PLUMBER �� J \ COMPANY Axc. -C'' " �< a' / - AA r (- J SIGNATURE L- -` �'`� y„ ` REGISTERED I Y / N I FEE CURRENT I Y ! N I Address ' / ( ( l � C� l Y-t1 • , i )h� v i ((� 3 3 5 ` ( � License # ` �G�° z y? - -- MECHANICAL f 8 1 ✓,1 p ae A/G / = COMPANY SIGNATURE -- -" REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 1 7 11- P - // Al/t?/? R 2 J'j y-1 ?c` l License# CAG Qy 3cl`ZP OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. IIIIIIIIIIII111111Il111111tillfil11111IIIIIIIIIIIIIIIIIIIIIIII11 1111IIIIII111111111111111111il111111111111111111111111ttllltllllliltllllit11111t11 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW