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813-78U -UUGU Lily UI _ piiy11nnJ rCI Mill r Building Department 14 01 0 3 ate Received Phone Contact for Permitting 8 / _._ L11 -- 3 ( . 3 � Iwner's Name (,t/ /LG////i9 / /FN/`/ /" /6)„,/,9-- Owner Phone Number ('11 1. f 1 7 q - /1 00 lwner's Address /0 3 3.3 114a/ 4-- . .1 Owner Phone Number ee Simple Titleholder Name Owner Phone Number ee Simple Titleholder Address 1 OB ADDRESS 63 / 4'J /6- /6 i e / I) / 2 "Ai_y /c43 > / 33$ # 0 I LOT# /93 UBDIVISION 1 6/44N4a / ° / 94 * - PARCEL ID #1 03 ' _260-2- 0.23 0- 00000 I 9v30 (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED ►�� NEW CONSTR ( J ADD /ALT [ [ SIGN MOVE 1 [ DEMOLISH NM INSTALL f 1 REPAIR 'ROPOSED USE [ 1 SFR [ [ COMM 1 1 OTHER 1 YPE OF CONSTRUCTION BLOCK [ [ FRAME ( 1 STEEL [ 1 OTHER [ I >ESCRIPTION OF WORK f trPA //i / R-6 AOD J ht/4-1_-C= FAr� /2 E - S i AWG c' - T,/ ry 1 WILDING SIZE I SQ FOOTAGE (53 1 HEIGHT a s77, icy BUILDING $ 3 // 65-o VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE t PROGRESS ENERGY 1 1 W.R.E.0 PLUMBING $ Y3 .7 .5 MECHANICAL $ I/ .2 5 5-- VALUATION OF MECHANICAL INSTALLATION 77 GAS n ROOFING 1 1 SPECIALTY [ 1 OTHER 7 INISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES 1 NO BUILDER CP I COMPANY LE/V/V 4/ NO ,t4 .- S S SIGNATURE REGISTERED l Y / N 1 FEE CURRENT 1 Y / N 1 Address /5 L.[ . 4V1 Ac.42 /0 elm/?wAf ,t,Fl3sno License# C 'c /. 55' I.5/ ELECTRICIAN , `�" GOh COMPANY 2 4) J E Cf4 5o . EG /L .ZN C SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y / N 1 Address /9,3 I/ .5 f F' /e-04P, - Zo 'I,4 f 33 6/ 3 License # EC OD 0.25 79 PLUMBER t" COMPANY B ,qYONET PC Um6 6-, ��m 9 4 C SIGNATURE REGISTERED Y / N FEE CURRENT Y / N Address " 0 80/ 5 8 BAyoafr 35 ' License # C F - G ® a /Z 99 8 MECHANICAL c COMPANY 8�4fai✓FT /4./& /1-4,9774/6', i,4 _ SIGNATURE A REGISTERED 1 Y / N 1 FEE CURRENT I Y / N _ Address , 0. 80)C 5308 34yavEr/' inlr- F‘,...35/67 LIB_.:. - • C dS8 O 6 2 OTHER • PANY C, J ,e4 /4/6- Ai/n/ ry /QooAiu &, ._Zvc. SIGNATURE REGISTERED Y / N 1 FEE CURRENT Y / N 1 Address '/2 1/ 5 /7044 Liz 81- - c5P2 /NG f( /cc, CG3y6o 7 L cen - C 5-7 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 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 onslte, 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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW