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813°7t3U -UU1U laity Ui LC)JIlyi1nna rcl1iut nFNi,vuu.. <br /> Building Department <br /> P I <br /> ate Received- Phone Contact for Permitting 8 / i ll‘ 3 <br /> 'tlttlltttttI ` �1 vi '/ Y <br /> lwner's Name �70/.V��/v6 A- " /W, Owner Phone Number ( /) J % ! " /I 00 <br /> �, �'W-j N4fig 6 Owner Phone Number <br /> lwner's Address � <br /> ee Simple Titleholder Name • Owner Phone Number <br /> ee Simple Titleholder Address /�� <br /> OB ADDRESS eb3,t 77 5' /� t/y- /CS /r � 7611 /ye4lit J / /G 33S .Vo LOT # j97 1 <br /> UBDIVISION 6 /4,41ND �/74k- PARCEL ID# 03-.26)-21- (5 23 0 " 00000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VORK PROPOSED in NEW CONSTR 1 ADD /ALT 1 1 SIGN 1 1 MOVE DEMOLISH <br /> 11111 INSTALL I REPAIR <br /> 'ROPOSED USE 1 1 SFR 1 1 COMM 1 OTHER 1 <br /> YPE OF CONSTRUCTION BLOCK 1 FRAME 1 STEEL 1 OTHER 1 <br /> )ESCRIPTION OF WORK L PA fi e- / ReAlo0 4 .J /NG- - FAf" /t/ /5/ ie - Ty <br /> 3UILDING SIZE S4 FOOTAGE 1 35 1 HEIGHT a Srbey <br /> BUILDING $ 5) , 6 5 • D VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 4 (7/0 AMP SERVICE ® PROGRESS ENERGY 1 W.R.E.0 <br /> PLUMBING $ 443.5" <br /> MECHANICAL $ 4.? i/S' VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> 'INISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1YES 1 1NO <br /> BUILDER I ( <br /> v S ; COM '"/V— �O � I �S <br /> SIGNATURE �— REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N <br /> Address/ • 550 L.L i vo 404.411/o CON", . t337 • License # , COG/ a S 5 <br /> ' <br /> 5 <br /> ELECTRICIAN COMPANY ID//o u 5o Al EG EGreIG. ZiV C <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N <br /> Address , / 0 .5/ " K. ra04P 'T.4ti/42 33'6/ 3 , License # EC OC 0.25 79 <br /> PLUMBER / / <br /> J t O COMPANY 8/ Se0f4 E7 6 <br /> PGon�INb,_h/e`�•^vo- , 9 .4 C <br /> SIGNATURE G/` REGISTERED Y / N FEE CURRENT Y / N <br /> Address JP 801 J 8 +-/¢_ yoA/Er ,vAlr i fC 3 VI 7y I License # C Cc ®_4'2 9 9 8 <br /> MECHANICAL <br /> c — COMPANY 94 <br /> /fuM4 /it/G / 44,9774/6-, / 44,9774/6 / 44,9774/6-, 0 /�C. <br /> SIGNATURE �/ REGISTERED {Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address , • 80)C .5308 84yo,ver7b,Nr, G1- 3wy1 License # CAC 6) s3 0 6 2 <br /> OTHER COMP .:1'w - / r/q[ / T 'QO ' ..�✓VG. <br /> SIGNATURE REGISTERED IMMIIIII EE CURRENT Y / N <br /> Address ¥2 // 5k 44 c. vo ‘SO4 fl /cc, ci,rao 7 License # -_ ?_Z Co S7 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 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways.,needs ROW <br /> • <br />