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813- 78U -UUZU Lity ui G.cpi lyl1IIIIJ rciiiut nNf,n�.u,,�„ <br /> Building Department 1 oB56 <br /> ate Repeived- ' Phone Contact for Permitting ? -- co 3 (o <br /> IIIIIIIIIIIIIIllLY" 1 �1 <br /> Iwner's Name NMz/f�/ . 4,,,A, e, fS /c,., Owner Phone Number (1'9 % 9 / '7 /1 0 0 <br /> Iwner's Address j . 3 7,/ 97/.. 2/f4 /M9 -7-T Owner Phone Number <br /> ee Simple Titleholder Name Owner Phone Number <br /> ee Simple Titleholder Address <br /> 06 ADDRESS 3 75/4'. v /ij8 �f 7E ' /' & / 33590 LOT # z- q l <br /> ;UBDIVISION 6 /4/9N 111411- PARCELID# 0 3'" -2 6. . 2 `0.230- 0000o-20gb <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VORK PROPOSED NEW CONSTR L ADD /ALT 1 I SIGN I I MOVE I I DEMOLISH <br /> INSTALL r REPAIR <br /> PROPOSED USE U SFR I I COMM I I OTHER <br /> 'YPE OF CONSTRUCTION 1 BLOCK I 1 FRAME I I STEEL I I OTHER I I <br /> )ESCRIPTION OF WORK 4 041 2- l Re /vIo De L .J //J -1 F4M C y K <br /> /E'5/lk,�t/G� - 7.4/ <br /> 3UILDING SIZE SQ FOOTAGE /5.3/ HEIGHT a srt,,y <br /> BUILDING $ 3 i' 6 5 . 0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL -$ , Y `1D AMP SERVICE ® PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ i43.7 <br /> MECHANICAL $ �Ls VALUATION OF MECHANICAL INSTALLATION <br /> '1 GAS I I ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES I JNO <br /> BUILDER , <br /> VI , COMPANY /1//VA2. NO / <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N <br /> Address /5 Li vF Alt -4110 C911"00Par3370 License # COC/ A SS <br /> ELECTRICIAN R COMPANY GDNo,v / F <br /> CIA ECT e/L ZN . C <br /> SIGNATURE l L a REGISTERED I Y/ N I FEE CURRENT 1 Y / N <br /> Address ` 036 ■K r 't#( lan ,42 - 7444 fl- 336/3 License # EC 00 0 .2579 <br /> PLUMBER <br /> / BAVoNET pCannrai,vG,.-fi�e`�mvo-. V A C <br /> C COMPANY <br /> SIGNATURE . , REGISTERED V � REGISTER Y / N FEE CURRENT Y / N <br /> Address ' .4 BOA 530? BA <br /> 1/Address ANAfrIGL - ` ni License # C FG O .4/29 98 <br /> MECHANICAL �LOMPANY 8A o ��� FT uMOit/6, /49774/6-, 1,4 <br /> SIGNATURE REGISTERED J Y/ N 1 FEE CURRENT I Y / N I <br /> Po <br /> Address /� 80)< . 5308 84yoAt/FT/Nr, , C1- 34.7 License # ,CAC 0 S8 0 6 2 <br /> OTHER / , . COMPANY Co JrE�'L - /N(r. l� tiq[ / Ty A2a°Fi,UG,.TVC. <br /> SIGNATURE ////9 <br /> ( / /!�/ REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 1 12/1 51/04' L /N E' 8t,vo SP2 //vG Attu, List/6o License # CG Co 5 99 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl 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 Life Safety Page; (1) set of Energy Forms, R -0 -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 $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 Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways.,needs ROW <br />