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Date Rec e,,ed � g i - 4
<br /> !O Phone Contact tor Permitting ' UJ
<br /> V 7 2 7 0/7 �V V o • "*. (06 3
<br /> Owner's Name WO_t 3Y C.E i Co I (� i Owner Phone Number $ 1 3-90 UO"i
<br /> D
<br /> Owner's Address J 40 Ld (. 1�0� � p 1`[ Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS ( ( c -ic i/ rd ) zep h\( rho H5 FI 33591 LOT #
<br /> SUBDIVISION PARCEL ID# LJ 3 —2 Le —2) - - OJ2-D (J --a3 o
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED I NEW CONSTR ADD /ALT 1 I SIGN MOVE n1 DEMOLISH
<br /> INSTALL REPAIR
<br /> -
<br /> PROPOSED USE I] SFR I COMM I] OTHER I I
<br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME l STEEL I,4 OTHER kYAtAGnv GC.T
<br /> DESCRIPTION OF WORK N I W
<br /> G � W h gKt51-1P1 �0�4Ntnf 6 (NAT. C i .e t rtew E•M. O /F�..s 11, DiF
<br /> As I I •(`t.,."1 Ka t
<br /> BUILDING SIZE I SO FOOTAGE g. 2bP HEIGHT
<br /> :.... ........:�,:•:::....... .....:::.... ,,••:,:, ::::- :,::,....:: :•:: rtdtr ....:: •, •:,.... ,..,..::••:, ... ,.... , . .. • . it ttrtmmnrttwinn_rtt Iti4-0 .
<br /> I I BUILDING $ gS v ()Q , 00 VALUATION OF TOTAL CONSTRUCTION
<br /> y I
<br /> o y 1 ^ '
<br /> ELECTRICAL $ /O tJ r 00 AMP SERVICE 1 PR OGRESS ENERGY n W ,r : <• / je
<br /> I PLUMBING $
<br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / Ji / r / ,
<br /> U
<br /> I 1 GAS ET ROOFING I 1 SPECIALTY I ] OTHER � I S
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
<br /> n n 2 �' - _ ' n l Tit cn+14, •m�i.4tr "tWat ` ,.1 :•i'miti5 till1.: "wx«, " ev"G. 4 3 tCmm� j
<br /> ' )
<br /> __.s.�, ""'•""'" ""iit�ic;a � :. fi`aEu•" m"•'dl�i' •�"�:- :..^^•' .. FQ'. � :.... /()C
<br /> c... ,,..r .......'..... 's .zs_ a , // II � • i G �It /�'/
<br /> BUILDER COMPANY `�
<br /> SIGNATURE REGIISSTERED I Y/ N I FEE CURRENT I Y/ N 1
<br /> Address I SA) License # I
<br /> ELECTRICIAN ali t.... 2 � / /7�'t� ,." COMPANY 1'�'C.IGI 4. C -+C. ,' <STr1 SIGNATURE 1 vi* , tl REGISTERED I Y / N 1 FEE CURRENT 1 Y / N I
<br /> Address 1 10 g 31 L4'4 44, f=G 313 - 7 License if I Es - 1 .ADbfl 4 1.1
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y N
<br /> Address I • I License # I
<br /> MECHANICAL COMPANY
<br /> SIGNATURE 24.STERED I Y/ N I FEE CURRENT I Y/ N I
<br /> ,(
<br /> Address ( ‘ - -y- n / ,, _ _k Linse i ce ` # I
<br /> COMPANY
<br /> OTHER I // � L 1l 44 -erbn souse C C Cco P� 5- tt- 3
<br /> SIGN T / REGISTERED I Y/ N I FEE CURRENT I Y/ N
<br /> Address I ) b' 3 r // ll•fJr SI - L ] 337 7 -7 License # I k 5 - I 1 Ob o l f ( 4
<br /> ;14 iii it1 411+1 4Wa;g ,4..:44 - 4 sir,_ .1:44f i9 - 4C� � .tCP — Fri: 1:�':'F4.4f4 4F— i 4 - - - aeI 4e0F dl[..... .,:;;;:
<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, Starmurater Plans w/ Silt Fence installed.
<br /> Sanitary Facilities 8 1 dumpster; Site Wok 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/ Silt Fence installed.
<br /> Sanitary Facilities & 1 dumpster. Site Work Permit 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 /> - : _ - Fi Er`.1ft#?AH 'qH9 i!@KREI.Iff� i� 4fggiFari ltt : 4gilt -t `tr 7�`RNIfft$iitt:4gi@6M � 4a�haAalr .7,;:..: .. ...�t,;lTi i44 :P• ::.
<br /> Directions:
<br /> Ali out application completely.
<br /> Owner 8 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 Attorney (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 F ences (Piot/Survey/Footage)
<br /> Driveways -Not over Counter 1 on public roadways - .needs ROW
<br />
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