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813 - 780 -U0'1U L 11y UI LCI.JI Iyt I IIIIJ rc' 1IR r �� Building Department #(0 ate Received- Phone Contact for Permitting _8 / __. 76 I "" 3 ( ° 3 am/ Z/1 f7(/,v Owner Phone Number (' 2')) lit/ ( r -- � r � 0 (1) wner's Name G �T 1 i ,A F wner's Address . G 3 3� N' A/1/ Owner Phone Number )e Simple Titleholder Hamer Owner Phone Number 1 1 ae Simple Titleholder Address 1 l� 3 3 1 4 /s /F #D 2F/D,S/ye41/LL. 91/ r �L 335 1 LOT # I �B ADD RESS I M n / /n 1 6 ' / L / 9 / V C ) / 1 PARCEL ID #1 03 -.2 —21— 23 0- 00000 ` ` 91 ( UBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) /ORK PROPOSED P44 NEW CONSTR I 1 ADD /ALT I I SIGN I 1 MOVE 1 1 DEMOLISH - INSTALL REPAIR ROPOSED USE I 1 SFR I I COMM 1 I OTHER I YPE OF CONSTRUCTION BLOCK I I FRAME I 1 STEEL OTHER 1 l I DESCRIPTION OF WORK 1 kEpAF/L / ke tilo0eG 4 1/1-'/ EIS /46't/GF - Til IUILDING SIZE 1 1 SO FOOTAGE 1 HEIGHT a .5'7774.y 1 BUILDING 1$ 3 /, 6 s.0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL f $ .3 �y0 AMP SERVICE ® PROGRESS ENERGY 1 W.R.E.C. l PLUMBING $ Y32 MECHANICAL 1$ 1/.2 95- 1 VALUATION OF MECHANICAL INSTALLATION GAS 1 ROOFING 1 I SPECIALTY I OTHER 'INISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [ NO BUILDER 11111/ • 9 r COMPANY LEN/VA/ / SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N Ad ess /5 . A Y6 At 0/0 CheNgi ttrrt, Alzio License# 1 CSC.,/ A 551.51 � \ COMPANY IGO"/o�u �o sSJ EC EC�rSe /L _iv C ELECTRICIAN • I ✓ r SIGNATURE REGISTERED Y / N 1 FEE CURRENT 1 Y/ N 5 TERED Address , / 034 , 5 - (tom / a 0 / 4 . O / 4 " I , vt A.316/ 3 License# 1 5 OD d 2 79 COMPANY — 8/ voNET pe_tina6,/ve,, hier�ts "N�. 9 4 C SIGNATURE / �� r REGISTERED I Y / N FEE CURRENT Y / N Address , �0 80$ 08 8�yo�c/Fr /Nr�ce License # C PC 29 MECHANICAL . t COMPANY 94>'o /Er . v id/'/& /46 ,4 C ^ ' SIGNATURE � REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N 1 Address A0, go 8 34 G1....3y6747 License # C AC O$$ 0 6 2 OTHER COMPANY C. .S'T6t'4./4/6- Ailu ry /gc ooF'U(r, --Zvc. SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N 1 Address 2 /1 . 51/04L LAIF 81..vo SP4ING /4 /LL, F63s/60? License # CG' Co 3 1 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 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/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work. Permit fora!! new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: FIII 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