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813 - 780 -UU4U tally Ut LtIpiiyl rvuiiu. i tipnn.auvi' • <br /> Building Department r 81 <br /> Date Received Phone Contact for Permitting 81 ?� ©3X <br /> / Owner Phone Number 8/3) 76 9 - :52 77 <br /> Owner's Name �f/1/II��/Q T / �M�S <br /> Owner s Address 400 N th—srs FOR. . 81-V0 fr Og FIL 33609 Owner Phone Number ( I <br /> Fee Simple Titleholder Name <br /> Owner Phone Number I <br /> Fee Simple Titleholder <br /> Address I <br /> JOB ADDRESS 1 3144 l l gK i yv 4 2 0 # O , 7eiogye4 /1IJ /, ' 335 0 I LOT # I <br /> SUBDIVISION I 6/1-4N� . / I PARCEL ID #I O % 40- 21- 023 0 - .00000— 0 401 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED o." NEW CONSTR I I ADD /ALT n S IGN n MOVE DEMOLISH. <br /> D <br /> ® INSTALL l 1 REPAIR <br /> PROPOSED USE n SFR I I COMM Ti O THER I _, <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME n S TEEL n OTHER <br /> ocauA/ /cO 7 O - <br /> DESCRIPTION OF WORK �E1'l/ CcNST�2.uCT OA) -' � <br /> BUILDING SIZE 1 I SO FOOTAGE I / .3 7/ 1 • . HEIGHT 1 a ` IDe 1 <br /> 1 BUILDING $ 3 / / 6 S VALUATION OF TOTAL CONSTRUCTION <br /> I I • ELECTRICAL $ yo AMP SERVICE ili PROGRESS ENERGY n W R.E.C. <br /> 3 � <br /> PLUMBING $ i4.32 .7. <br /> FT MECHANICAL $ 4/.2 vs VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS 5q 6 0 FLOOD ZONE AREA I IYES f NO <br /> BUILDER COMPANY LEN�1/' 1— /- a 'L S <br /> SIGNATURE �� REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address GOON G✓As-TtT SAW 1 5fl 3T, 33409 License# . C- /.A SS 1 <br /> ELECTRICIAN COMPANY /�oit?Gfln/ e GEC1 Ci! fireO - L <br /> SIGNATURE REGISTERED • I Y/ N I FEE CURRENT i Y / N ! 003157i <br /> Address It/2 O E • 044 S r Lp leftAero, 4 3308 / License # e __ '0'4" <br /> PLUMBER COMPANY AR ' r - . • . = • <br /> SIGNATURE R + ISTER • Y / N FEE CURRENT // N • a <br /> Address /� �aa�u:i��r®..�,.a:. -- License # , / <br /> MECHANICAL , COMPANY B O /ti�uM f+' <br /> OAti4., E/f7:N� g <br /> 4C- <br /> SIGNATURE a/ S REGISTERED Y/ N I /� FEE CURRENT i Y/ N I <br /> Address A 0. BoK .530. &9yoAF7 4INr-, F -3W.?V1 9 2 <br /> c License # � C d'SS O (0 <br /> OTHER COMPANY C. �+ r4'ee NG, , iJet `IT'i R 7 416) <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 / 2 1 / . 5 # 0 4 1 L/u 8 t - v , o SP24v6 iLC, ' 3s/io7 License # - Co s 7 99 ,/ <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 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 Englneered 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 />