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8i U'L <br /> 3- 7SU -UU <br /> Lilly UI LCNI lYi I IIIIJ rCi wit nt ni•Nnv■,wi (0'1 ( <br /> Building Department tr <br /> Date Received Phone Contact for Permitting 8 / I 7� O 3 43 <br /> Owners Name Kal�2.En� r (--C, A2, Owner Pho Number (. ' q ti - /'2 0 0 <br /> Owner's Address ( . (O 3 Z 1- • M A I.S -1. Ie.O r4-D Owner Phone Number I I <br /> Fee Simple Titleholder Name{ Owner Phone Number I I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (0321 [`r1A. t 51E; RC) 1 4b 2 EP//yie ///1tl, 3- -- LOT 2 0 <br /> SUBDIVISION 1 8/4/g/1/U . / I PARCEL ID #I 03-26,-21- 0230— 00000 0-0001 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED p NEW CONSTR I 1 ADD /ALT 1 I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> In INSTALL REPAIR <br /> PROPOSED USE I ( SFR 1 I COMM I 1 OTHER <br /> TYPE OF CONSTRUCTION 1 BLOCK I I FRAME I 1 STEEL Q OTHER <br /> DESCRIPTION OF WORK i OA /`/2- l.R6Ato .T /NG'L.e F #ffrfI q itES /L vee 7# <br /> BUILDING SIZE I 1 SQ FOOTAGE 1 I HEIGHT a s7z7 ,cy <br /> a <br /> BUILDING $ 3 / 6 5o VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n . W.R.E. <br /> ` f y <br /> 3 <br /> I PLUMBING $ 61325 <br /> I 1 MECHANICAL $ , V.5- VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ( 1 ROOFING 1 1 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I ENO <br /> BUILDER <br /> � C Y N/l/fJl� o '7 S <br /> ilk?'" SIGNATURE _ REGISTE OM PAN 1 Y / N I FEE CURRENT I Y 1 N <br /> Address • ieD ,Co L L 4V1 &fiZ /0 CIMINfiret License# CI3C/ A 55 .5I <br /> ELECTRICIAN L Dv COMPANY 1b1*'c_u Ai Ee(C1 /L .ZNC . <br /> SIGNATURE / REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N <br /> Address , / 934/ .SK ,2OAD, 9' ..ot '- 3 #613 License # EC 00 0 .25 79 <br /> PLUMBER 2 COMPANY <br /> $f7 Yo/JE pL00 a /NG,,/lE�'^'-. 9.4 C <br /> SIGNATURE ' JJ REGISTERED Y / N I FEE CURRENT Y / N <br /> Address -O 801 5,- % AYDA/Er Avon, 3 f 675/ License # CPC o 41 9 9 8 <br /> 1 <br /> MECHANICAL / A -........,— ; ' 0- COMPANY 94y0 1IETdome /rf/C> de- #97tiG, 6',G SIGNATURE REGISTERED Y / N I FEE CURRENT 1 Y / N <br /> Address 4 , #. Box 5308 84yOA , /,u7, M- 3Y67171 License # CAC OSS Q. 2 <br /> OTHER COMPANY C. 'SI - 4XL /It/6 (j clq[r ryRooFiVG,..Zve. <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/N 1 <br /> Address ¥2//. 5,044 L /uF 81-vo .csPILiNG /If 4 C43Wo7 License # CZ* CO 5 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/ Slit Fence Installed, <br /> Sanitary Faculties & 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/ Slit Fence Installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permlt 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 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways,:needs ROW <br />