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813- 78U -UUZU lrity 01 LCpI Iyi I nna roI a n‘ nppnvauvi' - Building Department �`/ � • Phone Contact for Permlttin e ii 7,6 - ( 3 �1 d3 Date Received 8 Owner Phone Number 8i3�; 769 —.S2? Owner's Name • ��/✓�/� //0.4.1.65 Owner's Address i 0 /V. al 81-f! ' SAMOA / -$3641 Owner PhoneNumber Fee Simple Titleholder Name I OwnerPhone Number 1 ' Fee Simple Titleholder Address /� /� +/' / � p /f /GL.I /�G '3 I ,"1.0-i.#' LOT # 1 / 6' JOB ADDRESS 1,3 75 r/ a /"�I yN % 1D, 7F,04/y . / • 6/L 'Atl -. .) PARCEL ID #I O _ "21 0 0 - .00000.-- , Ito " ' 6 I SUBD 674.4A/C) . (OBTAINED FROM PROPERTY TAX NOTICE) `�" NEW CONSTR ADD /ALT 1 I SIGN n MOVE. n DEMOLISH in WORK PROPOSED INSTALL I l ' REPAIR PROPOSED USE Ei SFR I 1 • COMM ET OTHER 1 I FRAME • n STEEL CJ � OTHER TYPE OF CONSTRUCTION BLOCK I DESCRIPTION OF WORK I i V Eill CO,v.STIe UCT o a w N ALOE✓ 0. BUILDING SIZE 1 I SQ FOOTAGE 1 /5 / I HE IGHT I srb�c� I I BUILDING 1$ 3 /, 45'0 1 VALUATION OF TOTAL ELECTRICAL I$ CONSTRUCTION � AMP SERVICE PROGRESS ENERGY E W.R.E.C, �1 i10 n PLUMBING I Ch '• 11/ UG MECHANICAL VALUATION OF MECHANICAL INSTALLATION 2 ,,¢ /- , ,�,. ,. n Is �'J k 6./0-76)i .. r--1 GAS n ROOFING I 1 SPECIALTY n OTHER y p S 6s • FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ;YES QNO. • d 90 • I i.Q . A COMPANY I LEN/VAi f7 0./✓I�S . SUI FEE CURRENT • Y / N SIGNATURE I REGISTERED Y / N Address • aA/ .6✓ No,e6 8i.vo. T�'PA, 33L09 1 License# 1 C8G / ST S. / I ELECTRICIAN COMPANY I nou 6041 &Gi /( zN C . SIGNATURE REGISTERED • I Y/ N I ' ;FEE CURRENT I Y/ N Address I , / 0.34/ /f p r N.,o4p,- 74M/!�/%L 336/ I L icens e , # I C OD 02579 I . PLUMBER • COMPANY BMW 7 /Ai SIGNATURE ' REGISTERED I • Y / N 1 FEE CURRENT ' . I Y / N 1 I License# I CPC 0,2./5-0 0 Address I (9 3w7 �+v 30! S ,. jOl vr2v /4��L 3' 35781 • MECHANICAL I COMPANY I O//F7�iM B /,f/6• : /.�E4A>rw6•. AfiC. SIGNATURE I • REGISTERED Y/ N I FEE CURRENT ,; I Y/ N � • .License.# CAC os$ 0 6 2 'Address I 0. • 80 5. ° 9 f3v FL- * ?V1 1 OTHER COMPANY I C. �r e4/ ;tIG= . q[, ✓ L wG, . vc. I SIGNATURE I .. REGISTERED I Y/ N 1 FEE CURRENT" I Y/ N I Address .1 $//0 4t L/u f 8L.vO J'P4IN6 A/L4 C6351I0 %I License # ( ., C•2,5,7"...9.9. , I I • RESIDENTIAL ' Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -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) complete sets of Building Plans plus a Ufe Safety Page; (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: . . • . . , . • . ' irections: ' Flu 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 Attomey (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 (PIot/Survey /Footage) . Driveways - Not over Counter If on public roadways. ..needs ROW • •