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813- 78U-UUZU I.ILy 01 LCi,Jl rcttttit nNNiivauv <br /> Building Department • <br /> lJ <br /> Date Received . , Phone Contact for Pemiittln: __ __ __ .. <br /> $ /__ X1.7 - ° 43 <br /> Owner's Name A5N/✓A/Q /AWES. • <br /> Owner P ho n e Num 813X:769 '- i.SZ77 <br /> Owner's Address GOO N We BLf/D 1;it`dag A 36o9 Owner Phone I•lumber <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 6 q l� il1 Ov k iD 2 19itiJ �G 33596 L OT # i -• <br /> JOB ADDRESS 3 7 3/ / n J <br /> SUBDIVISION • 6 /L/�N <br /> Y. ,rt g r�� <br /> L . "'7 • PARCELID# 0.3' 240-21 - 6.2.30. dt0 00 --0.3 ( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' �.� NEW CONSTR I ADD /ALT n SIGN n MOVE n DEMOLISH <br /> ® INSTALL REPAIR i <br /> PROPOSED USE . I I SFR I • COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION LECI BLOCK I I FRAME Q STEEL F . • OTHER <br /> DESCRIPTION OF WORK AI E v Coal -40CT On) 1O41JN NONI�s <br /> BUILDING SIZE SO FOOTAGE /53 / . HEIGHT • a2 .5 kg • <br /> BUI LDING $ �' 6 s0 VALUATION OF TOTAL CONSTRUCTION <br /> • <br /> AMP SERVICE t P ROGRESS ENERGY Q W.R.E.C. <br /> n ELECTRICAL $ ..9 �7 0 <br /> I I PLUMBING $ 4432,5-. . <br /> 1 MECHANICAL $� �S VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS Q q • 4 6 FLOOD ZONE AREA I IYES QNO. • <br /> TJ <br /> BUILDER A COMPANY / W4e-- I7 O sS SIGNATURE _ REGISTERED I Y / N I <br /> FEE <br /> CURRENT • I Y / N I <br /> Address - 00 A/ . Weft!, • - 8<. t'ea 7 'A / 3340' License# • I L'SG/ •Z 55 75 -/ <br /> COMPANY /10eatilI'J ELECT' /L £49"', Li-c- <br /> ELECTRICIAN ATUR REGIST I Y/ N I 'FEE CURRENT I Y / N // r 1 SIGN Egrig I .3 <br /> Address ft 6 E. O : wet Si L1 krLotro,A, 3308 / License # € / c _ <br /> MsS 1111•111111ili - <br /> PLUMBER COMPANY /9" - , �_ lf!r!er 5 • C • R ' I RE* • Y / N FEE CURRENT Y / N <br /> SIGNATURE ,`; of � . 35"6 �� Ale e 0 <br /> Address / ' ' • w - w w• .. License # + <br /> MECHANICAL • / COMPANY 8 0,✓6 , id /.t/6►, ft/Et97?NG/ 0,C.... <br /> • // <br /> SIGNATURE' REGISTERED J Y / N I FEE CURRENT I Y N I <br /> 6 <br /> Address A O. 8OK •S3 a vy.ver4MNr,' - "?V1 . License # •. . I O/04 ms8 ". 0 6 2 <br /> OTHER COMPANY C. < S' T" E/ CL/A1 6.; :l c/f ! [i'ry , Pc$u(s,.Zvc. <br /> SIGNATURE ---e-- REGISTERED I Y / N I FEE CURRENT' I Y/ N I • <br /> Address ' 1 2 1l . 5,042 L /OE &.vo cSP4,N6 Al, , F4JWo ? . ' License # I CG- Co z 7.99 ;1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 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 Piens w/ Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements'mustmeet 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's 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 • A/C Fences (Plot/Survey /Footage) • . <br /> • Driveways -Not over Counter if on public roadways.;needs ROW <br /> • <br />