Laserfiche WebLink
813- 78U -UU'LU LA)/ 01 zxpi iyilnn rciiiiii. npN„L,auv,1 <br /> Building Department <br /> Date Received- Phone Contact for Permittin• 8i i?,d e 3 6:3 <br /> Owner's Name A &NA/AX T7 OA S Owner Phone Number ( "J I/ in - 11 00 <br /> 33 � <br /> Owner's Address /5'5"5V l.tkf1'�'WiftlE A(#'��c CLE4/46/fre7Wt , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 74'.7.29A44LYN 76,//ye//it J j 1%L 335V° LOT # 54 <br /> SUBDIVISION /4i9NC) ,9,/'- PARCEL ID# 0 3- .2 eo -21` 0.230- 00000— 0.9/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �= NEW CONSTR [ I ADD /ALT I I SIGN I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR 1 I COMM I 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME I 1 STEEL 1 I OTHER <br /> DESCRIPTION OF WORK Ew CONST•QUCT OA) " - Td CA-JAI /, <br /> BUILDING SIZE SQ FOOTAGE /SI HEIGHT a •TbiCy <br /> B $ 3 i 65.0 VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ 3 Y AMP SERVICE 54 PROGRESS ENERGY ET W.R.E,C. <br /> PLUMBING $ y3 : <br /> I 1 MECHANICAL $ 4/.2 5(s VALUATION OF MECHANICAL INSTALLATION <br /> [ I GAS 1 1 ROOFING 1 I SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS ?o 9S [ FLOOD ZONE AREA 1 IVES Ti NO <br /> '1 <br /> BUILDER COMPANY LENNA� �/ '1 <br /> 0 - 5 <br /> SIGNATURE ' � REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N <br /> Address ' •• A/ • • • 840:2 - 7 - 10/1/ 0 4, - '5340 9 - License # CSC./ A 5 5'I .5I <br /> ELECTRICIAN 7 / - COMPANY 40/You 5o A/ 'c (crc/L ZA/ C . <br /> SIGNATURE '!/ 2 REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address , /03 + /P" -"A , d D / -) .4 336/3 License# EC 00 0.25 <br /> PLUMBER COMPANY R i VI Ph- u M 6 /N & <br /> SIGNATURE / R EGISTERED I Y / N I FEE CURRENT I Y / N <br /> • <br /> Address (937-7 my y...47 S . /2t vc2P /E6 jFL 35$S License # CFG /So 0 <br /> Iiir MECHANICAL / COMPANY erA/ET/gv d //f/er, /1667774/6-, 1 /91 C.- <br /> SIGNATURE / REGISTERED ( Y/ N I FEE CURRENT I Y / N I <br /> Address A (/ o 0K 43�yomer76 /Nr FL <br /> License # CqC 47--TS © 6 2 <br /> OTHER COMPANY C• JTEIC //(/G' � d19Li1y A . vC. <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address , '12/1.. 51/0AL L /iE a (9P2411 G /•1/44, Fi3S/`O License # - Co 5 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 subdivislons /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 /> FIII 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 cgntractor) 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 (Piot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways,.needs ROW <br />