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813- 75U -U04U Lilly 01 LGNI Iyllnna rviiinn. npplivauvli ✓ ��i Building Department • -- 1 . ' 1 • 1/NAI� Ili 0 � '47d -- ° 3 63 • • _ • Date Received g Phone Contact for Permittine / _ Owner's Name Af1 1,1eS Owner Phone Number ; • Q N. 44 :srS/fO . S31-VD P A-130 Owner Phone Number •Owner's Address I ' I . Owner'Phone Number F.. Fee Simple Titleholder Nernst Fee Simple Titleholder Address 2E -/1 idwi S ,�L ` 3590 LOT #: . , JOB ADDRESS ��" � //A 1 1 /1/ /)OAD o • r ,�/ P PARCEL ID# 0��- 21'Q23O.- .b %0 I SUBDIVISION. G,LnND �� (OBTAINED FROM PROPERTY TAX NOTICE) r—� SIGN MOVE. � DEMOLISH WORK PROPOSED p NEW CONSTR . I A DD /AL ' I =� • 0 INSTALL • PROPOSED USE Q SFR i - COMM [_] OTHER C ' - I TYPE OF CONSTRUCTION BLOCK U FRAME = STEEL El • OTHER • DESCRIPTION OF WORK 1 itifEili CONs.f.T U GT OA) • -- 'TQUON oA40.5 I FOOTAGE 13. � ' HEIGHT I R,ST' -' 1 f BUILDING SIZE 1 I S4 1 El B IS 1 ./ 6 s0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL ($ x.10 I t AMP SERVICE PROGRESS ENERGY = W.R E.C. El / 77 , PLUMBING $ Cc { S Ti • MECHANICAL I$ • 4 vs VALUATION OF MECHANICAL INSTALL4TION :,, S f SPECIALTY n ✓ j.,_,, 0 a— r`r 3_D 9 n GAS r] ROOFING OTHER FINISHED FLOOR ELEVATIONS - O / O FLOOD ZONE AREA . r1YIES =NO, soC� AI 9 • COMPANY 1 /VNA /T o ' S . BUILDER FEE C URRENT Y / N SIGNATURE REGISTERED I Y / N I I I Address ' 0/v .W .- 'h' €( &frO - 714 1 14 A, � 53LO.9 License# • ' 1 . 3C S . 5 . 51 • ELECTRICIAN S COMPANY 1 /Yo 50.A.1 FG{EC'T /C. ZN C . SIGNATURE REGISTERED ' I Y/ N I "'FEE CURRENT . i Y/ N .- • Li cense,# � OD 02579 - I . ' Address 1 / D -3y .S Pi° 2. /20i4D,-•¢ i,4 4 336/3 1 I COMPANY . M'>v✓ �L-V M /3 /A/ ( • PLUMBER FEE CURRENT / N I , • SIGNATURE REGISTERED Y / N r T �? ) ✓c4v14 -et/kL 33 598 1 i Lcense: #. ' rcPP /SO 0 I Address ( (0 317 /I iv 30! S �/Z1 � 641 • COMPANY 8' 0A/6 rdGMd /4/6 f. 7.•16v be /1 G ' . • MECHANICAL SIGNATURE • '-"� REGISTERED Y / N FEE CURRENT .I • Y / N 1 c Address 1 A 0.8oK 8 oNFT' INN, 7GL3S167� license #. . 1 CA oS$ ' O.6 2 I COMPANY I C! i..r�/C,-,<l/�464-9,foil lc � ri .tVC. 1 • OTHER I ,S'r e . N SIGNATURE I • �� V REGISTERED . I Y/ N 1 FEE CURRENT I YI Address . WV/. S L/u f C31-tco (5P 4/A/6 /Ii44 FL3'/W 71 . ' 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/ ,Slit Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/Iarge projects 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, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater.Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requlrementS must'meetcomplianae • SIGN PERMIT . Attach (2) sets of Engineered Plans, **!*,PROPERTY SURVEY required for all NEW construction. • • Directions: • III 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 A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter If on public roadways.:needs ROW •