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813- 780-UUZU tally 01 LtijJI iylllllib roiii tit, nNNi • g � Z, <br /> Building Department . 6 <br /> ' Phone Cont act for Permittin e <br /> Date Received f 2- � - (� ° - <br /> 8�3J <br /> 6 q -- ,62 <br /> /J1tS Owner Phone Number <br /> Owner's Name • NCR �' ! <br /> O <br /> '/ L ��q i4,33(,o?l Owner Phone Number <br /> Owner's Address 1 00 N 4/ Sf S/fo VO MpA <br /> j Owner Phone Number <br /> Fee Simple Titleholder Namei <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 762' //it? N %�D ®D 2E 'f/ e� /L�.! r''‘ '3350 LOT # ._ <br /> PAR CEL ID# 0 ��4 �2/�QZ3O .D OdO�.� ., Q <br /> SUBDIVISION /G/9N0 �/4/�j� . <br /> (OBTAINED FROM PROPER TAX N ADD/ALT ED SIGN n MOVE n DEMOLISH , <br /> WORK PROPOSED Ra NEW CONSTR I I REPAIR <br /> • INSTALL <br /> PROPOSED USE n SFR 1 I• COMM Q OTHER 1 I <br /> TYPE OF CONSTRUCTION � BLOCK U <br /> FRAME Q STEEL 0 , OTHER) • <br /> GT OAS �owA/ /AO <br /> AaA4 <br /> DESCRIPTION OF WORK I E CoNSr U . <br /> BUILDING SIZE I i <br /> SQ FOOTAGE I /3 7/ 1 HEIGHT I a smti,.Y i , <br /> B I$ ,3 / 6 Sn I VALUATION OF T OTAL CONSTRUCTION <br /> I I ELECTRICAL $ g ` f y0 AMP SERVICE <br /> PROGRESS ENERGY W.R.E.C, <br /> I 7 <br /> n PLUMBING I$ Y32.7. I <br /> I I MECHANICAL 1$ $ 4/.2 VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I 1 ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS i 13 , . 6 0 I FLOOD ZONE AREA IYES []NO <br /> q p • <br /> COMPANY L ZEN/00e -- #Osit4 .5 ' <br /> BUILDER � - <br /> REGI I Y N I FEE CURRENT ° Y / N <br /> SIGNATURE <br /> 0 A/ W re &fr - 714149, g- 53451 I License • 1 CSC./ A SS <br /> ELECTRICIAN <br /> Address 'O � /I�GYeE I <br /> I COMPANY I Ai E'c EC.r'��L G 4,4'9A G <br /> / l I Y N 3�0 �� ? I <br /> SIGNATURE I REGISTERED • I Y/ N I FEE CURRENT 7 <br /> E T Gp LAO f t- 330611 License # <br /> Address If 2 O E O O S rur,.n <br /> n i s - <br /> /-- ' COMPANY AR „ /IV"- • <br /> PLUMBER . R R ED I Y / N 1 FEE CURRENT Y / N <br /> SIGNATURE b 21 <br /> . ..,. _ , . ._..., •, _ . -� - 350 <br /> Address /- <br /> ,. License # <br /> COMPANY I B4a�t/- - /�gMO • E��/44 ' _ 4 ' C I <br /> MECHANICAL I REGISTERED Y/ N FEE CURRENT ; ;' I Y / N I <br /> SIGNATURE <br /> 0. oNETIbiN1' t396?v1 License # (SAC ms8 0 i <br /> Address ( /. 0� • 80)C / M /r <br /> COMPANY 1 C. ..frrKL./ t/6" , 4 (19c, fy ROOF-M/6) Avg. I <br /> OTHER <br /> SIGNATURE REGISTERED i Y / N 1 FEE CURRENT I Y/ N I <br /> Address I //. 5#OAL L /wE #3c-Vo 4SP2/N4 i1/14 FL3Y o71 ' ' License # 1 CG C . 991 I <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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms: R-0-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 /> Directions: , <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> ** Agent (for the contractor). or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ' Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways,:needs ROW • <br />