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813- 78U -UU4U laity 01 LCFJI Iyi I Inw rc1 I I nt rAFFI Nauv) I <br /> Building Department <br /> Date Received Phone Contact for Permittin: el 7b - 3 4 O <br /> Owner's Name ' 4t'4//VAx n o t$ Owner Phone Number TOO) % 7 c /1 0 0 <br /> Owner s Address / l-aH/"w c/ Lie .#2/ 6 C16 4,41Yc_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address d <br /> JOB ADDRESS •7 76, 4. 7J 44g-9/ 7EP/�ye*t a i 335 0 LOT # 5 <br /> ? / <br /> SUBDIVISION. 8 /4IgND / PARCEL ID# 03-.240-21-0.230- 000OO - O S/O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ►s: NEW CONSTR ADD /ALT n SIGN I- MOVE Q DEMOLISH <br /> as INSTALL I I REPAIR <br /> PROPOSED USE n SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION 1 BLOCK I I FRAME I I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK /Y rEiv CONSr uG” O,\) 1 OwN /SLOi✓LES <br /> BUILDING SIZE SQ FOOTAGE / 37 / HEIGHT GQ Jim 4 <br /> B $ 3 i' 65'0 VALUATION OF TOTAL CONSTRUCTION <br /> �7 0 AMP SERVICE 154 PROGRESS ENERGY = W.R.E.0 <br /> [-'i ELECTRICAL $ 3 . <br /> (-i PLUMBING $ y32, <br /> n MECHANICAL $ 4% Vs VALUATION OF MECHANICAL INSTALLATION <br /> n GAS (—] ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> p•9S [ FLOOD ZONE AREA 1 IVES ]NO <br /> • <br /> COMPANY LSN/VAe- //o '7t S <br /> SIGNATURE /// REGISTERED I Y/ N I FEE CURRENT I Y 1 N 1 <br /> Address IPO ` A/ .h/o 8<. frO -714-44 A, Fe- 334o? License # C 8' G / A S 5'7.l <br /> ELECTRICIAN <br /> ; % COMPANY /Yo tl B ois/ & EC��G /L Xn/ C <br /> SIGNATURE // !. REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N .1 <br /> Address I / , y .5g-/f ' =i;' /20i4D724494rL 336/3 License # -EC OD 0.2579 <br /> PLUMBER COMPANY Sfr/ in <br /> PLvM <br /> SIGNATURE ' REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> • <br /> �JW E G a„2/.5 0 <br /> Address j .5 ,./Zt t 21/ /E�FG ,3 5 7 8 I License CF <br /> MECHANICAL � COMPANY 8 Oil/ET uMB /0f/er /160774/6., 1. C- <br /> SIGNATURE �% REGISTERED Y/ N I FEE CURRENT I Y/ N I <br /> Address A 4 ;OK 5 • - . G1- 3Y69 License it I CO'C OS$ 0 X0' <br /> OTHER COMPANY C' d TE/t?L /4/(r- (�tJ ft, Ty /fGOF/�v6 -rye - <br /> SIGNATURE 10, . — REGISTERED I Y/ N I FEE CURRENT " I Y/ N I <br /> Address ( 5 ''144 LiuE 8t-v0 SSP4 /(/[L, Ci3stio7 License # C" Co S' 7 99 / <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 -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 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 Attomey (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 />