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81.3- 78U -UUZU Lilly UI L IyI I iiii rvl 1 11. Niivu,,..... Building Department *l ( ° P? 8 ate Received Phone Contact for Permlttin• / Li 7,6 I -- 03 43 l ItltttltltllltLtiur- Iwner's Name — 1 - 77 7 7--/< ( /, (7/1'1 Owner Phone Number ("72 ") % 4 / 1 7 4 7 ` /1 (2 0 '' �62/ /` Owner Phone Number Iwner's Address � , .5� � 9/441/__r ee Simple Titleholder Name Owner Phone Number ee Simple Titleholder Address OB ADDRESS b gclisir / , ZEP//yy', & ., 33.5 LOT # - 19q ,UBDIVISION tie./4/VC) / PARCEL ID# 03—.240— 21- 023 O - 00000-V99 0 (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED ►r/ NEW CONSTR ADD /ALT 1 I SIGN 1 I MOVE ( DEMOLISH MN INSTALL REPAIR 'ROPOSED USE 1 1 SFR I 1 COMM 1 1 OTHER I YPE OF CONSTRUCTION ,15i4 BLOCK I ) FRAME 1 1 STEEL 1 OTHER I )ESCRIPTION OF WORK 4P19 '7E- / REtiloot 4 .Jig(/ (-Lr' FPM / L`/ /2,e- ►'t/G6 - Ty 3UILDING SIZE SO FOOTAGE ( 1 HEIGHT a S7vie-y BUILDING $ 5 // 65-0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 3 4 1 0 AMP SERVICE Ig.I PROGRESS ENERGY 1 1 W.R.E.C. PLUMBING $ 4432 MECHANICAL $ 41.7 i /.5-' VALUATION OF MECHANICAL INSTALLATION GAS 1 1 ROOFING 1 1 SPECIALTY 1 I OTHER =INISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES I NO BUILDER S COMPANY LENA/44. // o v SIGNATURE ! REGISTERED 1 Y / N I FEE CURRENT Y / N Address /5550 ,fr. VF 4?k. &17o CaA/lwA rl! / License# C3C-7 A SSTS7 ELECTRICIAN / ( < COMPANY t:‘ ° C /Yc a/ E E'Cre /L ZN/ C SIGNATURE / -1 REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N Address , / 034 ,714/1"P , ' /e - -7 4 4 A- 33 6/ 3 License # EC 00 O .2S 79 PLUMBER /,V *3,c't CV COMPANY B/ VoNE pcuna6/.vb,hier.ts - . 9 4C SIGNATURE 7 REGISTERED Y / N 1 FEE CURRENT I N Address p 0 go 530 X34 yfiEr A) /ar 35q License # C FC ®_ '/2 9 9 8 MECHANICAL _ C COMPANY 84O n/ETdrinid /4/6. /4,977416-, 0 /'C- SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y / N 1 Address . 0. 80)C 530g 8,9yoNFrJ i vr FLi' .?91 License # CAC OS$ 0 ' 2 OTHER COMP. • - - - 0,9z, 7- ,1 . , I u& ..Zvc. SIGNATURE REGIST - •� FEE CURRENT Y / N Address '/1 /1 5#04j L A!_ = vo <SP4ING,41aL C43VIo License # ---- L29- 5'799 / RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buliding Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, 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 onsite, Construction Plans, Stormwater Plans w/ Slit 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 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