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l lll y V 1 LGNI 17111111. 1 VI 11,1\ 1 .t/N „ v u.,v.1 oio , ov - v�cv Building Department �G' Date Received D' l! Phone Contact for Permitting • 2-95 -- j f C - rL 45 LL C Owner Phone Number 213 7' ' ; 4 / 77 Owner's Name �� r7 q� r E . Carrie/ S�' � �� Owner's Address 16 / / l E. be cL i ?d 5 -C -c. >0 I Owner Phone Number I Fee Simple Titleholder Namel I Owner Phone Number I Fee Simple Titleholder Address I 395 A us Wallo / Qv I LOT# 1 JOB ADDRESS I � I n I 1 2C _ � I O D C CC�n SUBDIVISION I Ma P.C. a. PARCEL ID #I (OB FRM PROPERTY TAX NOTICE) f N EW CONSTR I I ADD /ALT 11 SIGN I I MOVE 1 1 DEMOLISH I WORK PROPOSED INSTALL REPAIR SFR 1 1 COMM 1 I OTHER 1 I PROPOSED USE I A. I , F RAME I I STEEL I 1 OTHER I vbl f-e h CI77 e I TYPE OF CONSTRUCTION I I BLOCK � � I Lf �J �J DESCRIPTION OF WORK Lipoe I oc f e' Sel _ BUILDING SIZE I3 2 x f3 I SQ FOOTAGE r/ J HEIGHT 1 I I 1 BUILDING 1$ 6o D " I VALUATION OF TOTAL CONSTRUCTION ELECTRICAL I $ 26°°' 2Sd, AMP SERVICE 1 PROGRESS ENERGY W.R.E.C. � I I PLUMBING I$ /56' ') I I MECHANICAL IS 2 C-J ' I VALUATION OF MECHANICAL INSTALLATION r GAS 1 I ROOFING I SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA 1 'YES 73(10 COMPANY I1J�� / Cr ` a " r BUILDER `� , .s // REGISTERED L Y / N FEE CURRENT I Y / N 1 SIGNATURE — — �w� / If Address I63 ' (�a ll (� V I License # 1 /H 0600 / W COMPANY 1 C►" o PI di l Ile e -' S GNATUREN ..40' REGISTERED I Y/ N I FEE CURRENT I Y / N I Address 5735 9 S. %-ee I License# I el-0612`1/6 PLUMBER COMPANY I aV f-/-e✓ ?� dog fk'l ( -6 SIGNATURE _r_./-'" l"`-- ' _- .:_) REGISTERED I Y/ N I FEE CURRENT I Y/ N I �^ 1 License # I /H066 / Address I 1 103'1 C,. %rr- f � �� COMPANY 1 Bc / -op hrs ar►e c A 1 (C SIGNATURE MECHANICAL Th REGISTERED I Y/ N I FEE CURRENT I Y/ N Address / -/ L// ,4 ien Rd I License # I CA C- 4 / 3 9 L IE OTHER COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address I I License # I 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. 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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW