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211J- MMU -UULU uity uLGepIIyII rtll nut !- 4JJm;duuil .....- ,...r....�, <br /> Building Department / n <br /> �r 0 — - r L �/] <br /> Date Received Phone ► C � o r nt ta a ct for Permitt <br /> Owner's Name IbIT I7 1 0 a )V J Owner Phone Num._ ,i bE UM <br /> Owner's Address �, a m1ri � , er Phone Number 1 Y ,� , i 159 to <br /> ��eW r flat. AM sw <br /> Alp 7 ■ + I ) <br /> Fee Simple Titleholder Nam- . -- - - Owner Phone Number <br /> Fee Simple Titleholder Address ,,./ ------' <br /> JOB ADDRESS t V (v F 1 R P oR r R b. Z P 1-1 V 1 tyl, LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT SIGN 0 n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE r SFR Q COMM r1 OTHER I <br /> TYPE OF CONSTRUCTION r BLOCK I= FRAME I I STEEL r 1 f I <br /> � DESC 6cJ1 (^ Nr^ C Tr Li /vV F / ct_c� it [ �-4 r v. <br /> BUILDING SIZE SQ FOOTAGEI C.G HEIGHT ! r <br /> I =UILDING $ ' 10 5 VALUATION OF TOTAL CONSTRUCTION 7:-/° <br /> Fit L $ AMP SERVICE <br /> ` t, o I PROGRESS ENERGY r W.R.E.C. <br /> LUMBING '$ v// S k"--1 / O i yf�rr/ • <br /> I t.ANIECHANICAL $ � 0 VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS r ROOFING Q SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA rIYES NO S 1 ,? <br /> BUILDER 1��- COMPANY R l 0-4 • R D 7 OR TO - -- , <br /> SIGNATURE F REGISTERED /® FEE CARREL <br /> ti <br /> L <br /> i` <br /> Address 2 ?o /0 /UP�t 2 > Ucense # I I V 0 G , / ` / <br /> .1 Emnp liguilimimm <br /> ELECTRICIAN �_T1 1 <br /> S f �� J REGISTER COMPANY G� F. G/C L / ° l�f9l E <br /> SIGNATURE X9 I • �� f , D ©AjI FEE CURREN EPEE — <br /> Address ; 4 ` `LV) Cif p,2 e / .2 CFLG P' p — ! Ucense # L G G1L�C) �. <br /> PLUMBER V f 1 l'r l / W� ! NF r "�� PfIiG�^1i7�_ �v /v�� I <br /> SIGNATURE z � �'L REGISTERED H R 1 s HRH R I LUM B) NC S7 eri- c E <br /> Address Di �� A reffIl g 0 Ucense # C/' / f e 2 6 V S( I <br /> � _,� Z ,-0 /� J� s n r , l� ?AsGJ Rik_ aJ /0 /r! <br /> SIGNATURE � Z- M So/ V f V `/ o rs C I`� V. / c I ` <br /> Address / s• i2% */ -/ ,, f/ Ucense <br /> OTHER COMPANY . coil <br /> / (/ i e 4 <br /> SIGNATURE REGISTERED I Y/ N I FEE cURREt I Y/ N I <br /> Address Ucense # I <br /> • <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, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufe 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over $7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would omeone with.rwtariiea )etZ {Groin owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences (Ptod$rxvey/Footayb) <br /> • <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />