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tlU-UVLU Lilly 01 z.tpi y i I I I I I J r 1 11U. nTNnv�+,,,.. 10/7°1_, Building Department ■ / ate Received Phone Contact for Permitting 8 eeJJ / € 74 I -- < (.3 wner's Name ED 2...19/1ff0 Owner Phone Number (1/.2 l 9 /�� 4,34 wner's Address j • /°•r/(ilsit /e(j/4---4:) Owner Phone Number • ee Simple Titleholder Name! Owner Phone Number ee Simple Titleholder Address �Q n r /� 1 L' J ZJ /�' /J.�F .k40/ ZE/oyye61 /1 L.f / 33S 90 I L OT # l OB ADDRESS /1 Q DIVISION E/G'4ND �R�� 1 PARCEL ID# 0 3 -26. _ 21— 0'23 O — 00000 ` / / 6O 1 UB (OBTAINED FROM PROPERTY TAX NOTICE) YORK PROPOSED p NEW CONSTR f ADD /ALT ( I SIGN ( J MOVE I 1 DEMOLISH MI INSTALL REPAIR 'ROPOSED USE 1 J SFR I COMM [ 1 OTHER 1 1 YPE OF CONSTRUCTION LliK BLOCK [ FRAME 1 1 STEEL 1 1 OTHER 1 )ESCRIPTION OF WORK 4gPfi `� l R6 no 0e� e_ ` FRS / � `�/ � — 7 1 lUILDING SIZE 1 SQ FOOTAGE 1 S3 I 1 HEIGHT a.sib 'icy 1 BUILDING $ 3 i 6 so VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 3 V0 AMP SERVICE 531 PROGRESS ENERGY 1 W,R,E.C. PLUMBING $ Y3 MECHANICAL $ 1 /.2 VS-- VALUATION OF MECHANICAL INSTALLATION GAS J J ROOFING 1 1 SPECIALTY 1 1 OTHER = INISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 DYES NO BUILDER COMPANY NNFf'/2" NO - SIGNATURE REGISTERED 1 Y / N J FEE CURRENT J Y / N 1 ` r CMG/ SS'7.5/ Addr -." /J 550 /.../ "AV ttc. 0/o Cavfki/treft /Rwm. License # ELECTRICIAN � . pt)COMPANY GONo,u 50 a/ EC (Cfe /C Zit/ C SIGNATURE / REGISTERED J Y/ N J FEE CURRENT I Y / N Address , / !.3 ..-5 K t,( /2Oi4D7T , 4 41 / 1 r/- 33 6/3 License # I EC 00 0.25 79 1 PLUMBER t e O' 8/g VoNET pCvroe met,,hler�'^.G 9 4 C SIGNATURE bi-.> 4 REGISTERED Y / N FEE CURRENT Y / N Address O8o/ J D (3,4-yoavE'Po/ 1C4 3 Sq.71/ 1 License# CPC ®_ +"Z. z ° '' COMPANY 94yoA/F /< vn4m./G , ,z/e/9774/6.,14 MECHANICAL SIGNATURE REGISTERED Y / N I FEE CURRENT 1 Y / N J Address ". 80)e 530g �.� ZOAiFr P6 /Nr FLJy67V1 Li # CAC OS 3 062 OTHER COMP_AN_Y— . 0 -r ie" - /'t1 4J/14I Ty /Poo ixIG, ...Z'VC. SIGNATURE REGISTERED 1 Y/ N J FEE CURRENT 1 Y/ N 1 Address 1 /2// ...51,4a44 /.V E BLVD t.57 /N tc.4 F634407 License # C.Z Ca ,Y 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 w/ 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 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 (PloUSurvey /Footage) Driveways -Not over Counter If on public roadways,.needs ROW