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813- 78U -UUZU Lily 01 Lupilyl1IIIIJ rcliini, nypilycli.1011 Building Department Date Received Phone Contact for Permitting / L i PTf - 6 ' 3 43 Owner's Name 4' 4/A/` <' T7 OAFS Owner Phone Number (TOO) l i nI ' . // 0 0 r.i" .A ( 2 Ie C1{44JfrE?L J L'� / Owner's Address 3 l d�+/�TC �1,�yf�r L , Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 1 JOB ADDRESS 376 7 8 9A491-yu1 20 tJ 74,07/y ,914 335"'0 LOT # l 5 SUBDIVISION. e24/ . "gte,./L. PARCEL ID# O3—.2 6, —21— 0.23 0 - 00000' o'570 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED p:"":41 NEW CONSTR I I ADD /ALT I I SIGN n MOVE I I DEMOLISH MIN INSTALL REPAIR PROPOSED USE n SFR 1 I COMM I 1 OTHER TYPE OF CONSTRUCTION 121 BLOCK I I FRAME I 1 STEEL n OTHER 1 I DESCRIPTION OF WORK A E bli CON izuc7i OA) 7 owN AL0A 40s BUILDING SIZE SQ FOOTAGE /53 / HEIGHT a .STbeCy FT BUILDING $ 3 / 6 CO VALUATION OF TOTAL CONSTRUCTION El ELECTRICAL $ 3 , y0 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. El PLUMBING $ Y,.?. 5 1 I MECHANICAL $ 1 /? Vs VALUATION OF MECHANICAL INSTALLATION FT GAS n ROOFING I 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS 70 9-s- FLOOD ZONE AREA 1 IYES nINO BUILDER dr COMPANY LF ' N O .W L ; S . SIGNATURE REGISTERED ( Y / N I FEE CURRENT I • Y / N Address (P00/t/ Al BA kV - 1704 0 4 , /4 33609 _ License # Ceti, SS'7.5! ELECTRICIAN // / COMPANY /oN 5 OiJ & 'f FG /L zNC SIGNATURE // REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N Address � , /03 .SK /? /2O4A, 24^44.1,/' . 336/ 3, License # Ec 000 • 79 PLUMBER COMPANY BM PL SIGNATURE • REGISTERED - Y / N 1 FEE CURRENT I Y/ N 1 Address & 32 , 7 /A/ 34/ 4 .R vc2 ii/ 4 ,( 3357B License :# CFCO /S 0 MECHANICAL j________- COMPANY 8.4y0A/E /407 /lr, +v /t C— SIGNATURE REGISTERED f Y/ N I FEE CURRENT 1 Y/ N Address A 0. BO '08 ONET J6,N*, / $/67 AC License # C A i3 3` SS O (° 2 OTHER — COMPANY 4 �TEK�- /� �tJf G" • t /Ty A '�G,..Z+VC• SIGNATURE ' REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N Address W2 // -5' //044 L /dI F 81-V0 csP2/N4. /t/[L. ,Q3y`0 ? License # • CC' CO S 7 99 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction; Minimum ten (10) working days after submittal date. Required onslte, 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 Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wl 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: Fill 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 (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW