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,513 -750 -LULU - Lilt)/ UI LC piiyrinna rciHilt nNNnuuu.. /� /�� y _ � 5 / �ryp,� - 2 Building Department 1f�T__ ate Received- - .9-A- (9 Phone Contact for Permitting 3/ il74 I __ O 3 (03 Nner's 6' ,FG 04y l/IQlt/Sco /Pin ^htii Ric Ru ,Li Owner Phone Number ('72") i f / 2 ''r /1 nmer's Address `. 3 7 55 A. peq_ L NA ?f/l2 _ Owner Phone Number • ,e Simple Titleholder Name Owner Phone Number !e Simple Titleholder Address , )B ADDRESS 7755 li 2,94/11 /r! te / 2FPyyi41/44I/ 7%"L 33SY'o LOT* 2 / O JBDIVISION E / 4 4/W " / / 4 4 * - PARCEL ID# 0 0 3-.26,-21-0.23 - 00000— - / o 0 (OBTAINED FROM PROPERTY TAX NOTICE) ORK PROPOSED 'rill NEW CONSTR 1 1 ADD /ALT ( SIGN MOVE I DEMOLISH INSTALL f l REPAIR 2OPOSED USE I I SFR I COMM 1 1 OTHER (PE OF CONSTRUCTION BLOCK ( I FRAME 1 I STEEL OTHER ESCRIPTION OF WORK k0 IA- / Re' loo e .J/NG-Ltc Fi4�!/&y �/£ 'i,e - rw JILDINGSIZE SQFOOTAGE /37/ HEIGHT a .STOe•.y BUILDING $ 3 // 45-0 VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL $ 3 'y0 AMP SERVICE ® PROGRESS ENERGY ( W,R.E.0 PLUMBING $ 3.7.7 �� _ 7 �L ?W(O t MECHANICAL $. i /s- VALUATION OF MECHANICAL INSTALLATION GAS 1 ROOFING I 1 SPECIALTY I OTHER NISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES NO i L. t UILDER .�� COMPANY Lg n//1/Ae-- NOi✓ IGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N Address / 550 L.L(r . Av0 P4.410 Gitor•onrert,n3374 License# CSC, / a SS'7.5I LECTRICIAN CD COMPANY GoNo,u 50 a/ EG ECrre /L -ZN C • IGNATURE / y *5) C REGISTERED 1 Y N 1 FEE CURRENT I Y / N Address , /03 .57Z/ t/‹. /e-04, A -f Li 33 6/3 . License# EC 00 0.2 , 5 79 LUMBER �1r �, COMPANY 8 VoNET pL u/r+6 /N &, - 0t-r.A.. -- V 4 C IGNATURE �, REGISTERED Y / N I FEE CURRENT 1 Y / N I Address PO Rol J . S 3Ry A/Er Ab/�%f 35 i License # C FC tf 2 9 98 ECHANICAL if 2 C7 COMPANY 1 f-/E/9 /�t , IGNATURE 7 0 . µ REGISTERED Y / N 1 FEE CURRENT 1 Y / N j Address 4 , O. Box 53 8lyoNfrPo „ vr 1 -. Z.- - 477 License # CAPC os8 2 THER COMPANY Co jTEI�L/ N{�` �` i� oor IGNATURE REGISTERED 1 Y / N 1 FEE CURRENT Y / N Address 92/1. 51/044 UuE Si-vo SP4itvG Attu, ,63rWo7 License # CZ” Co 5 7 99 ESIDENTIAL 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 OMMERCIAL 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 for all new projects. All commercial requirements must meet compliance IGN PERMIT Attach (2) sets of Engineered Plans. e " "PROPERTY SURVEY required for all NEW construction. • Irectlons: Fill out applicatlon 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 VER 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