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813- 7 8U-OU'LU. L+Ity UI LCNIlyli nlia r r-wHiivu, Building Department (6 :_ • • late Received -' � � " Phone Contact for Permitting _8 / _ _ 11,4 I -- 0 3 4 3__ I mo _ �i sl vi ,�1 0 )wner's Name 0h/fIM. f� S$ !s ONOM///� /YI Owner Phone Number l'! 2 ')> / 7 J 0 Iwner's Address I ✓� �sr. g 2),R/1,4, 4._ Owner Phone Number ee Simple Titleholder Name Owner Phone Number ee Simple Titleholder Address ' , / ...--,e4 . OBADDRESS 3 75 / 78 .�/7 th',9 76.0,4/ye41 /4 /�L 335 LOT � 6 iUBDIVISION 6 /R4/4, PARCEL 10# 03-.24,-2I-0.230- 00000-206 6 (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED pril NEW CONSTR I l ADD /ALT I 1 SIGN [ I MOVE 1 I DEMOLISH gm INSTALL I REPAIR 'ROPOSED USE Q SFR I 1 COMM 1 I OTHER YPE OF CONSTRUCTION JO BLOCK I I FRAME I STEEL I I OTHER I ,/ )ESCRIPTION OF WORK 1(PA" / RE ,�ioDE C ..imie. -Lt F/4/" L`1 /tEcs /a✓l/eE -- Ti's' 3UILDING SIZE 1 SQ FOOTAGE /53 HEIGHT a .S777e,y BUILDING $ 31 , 65 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 3 ‘yv AMP SERVICE ® PROGRESS ENERGY 1 W.R.E.0 y PLUMBING $ Y35- MECHANICAL $ 4 5/5' VALUATION OF MECHANICAL INSTALLATION —] GAS ET ROOFING I I SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES I NO BUILDER � 6` COMPANY LEN/ti/44. /7/0 A.14 4_ SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 5550 L.L .444 4t" o o Gt w /Fa,7& License # CAFG/ .R S ELECTRICIAN ' ( COMPANY 4:Ph 5 o.k1 EL EC1 /G- .Z/V C . SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y / N I Address , /034 /P ' /e -1;441 rL 336/3,..] License # gC 00 0 .2S 79 PLUMBER / ' COMPANY B/ y0/I/E7 pcvousiiv&, trvv6, 94C SIGNATURE �J /:1/:111 REGISTERED Y / N I FEE CURRENT I Y / N I Address ;D 0 .%0x O S 3AYo /Er AP /A/VC License # C F '/ C / o _ Z. 9 9 8 MECHANICAL � JJ COMPANY 94 O/v6 -7- . wpm/, f/l., / 97?- 4r, � G /{ SIGNATURE J REGISTERED ( Y/ N I FEE CURRENT [ Y/ N I Address � . BOX 5308 3R, F7 ?6/N,, ,cc-i' P?V1 License # CAC 0 -5 . 9 0 6 2 OTHER C, 'rE/t?'6./ A/6 � J9LI Ty 4200Fiiu &� . -Z.vc. SIGNATURE /../7 REGISTERED I Y / N I FEE CURRENT I Y / N I Address ¥2 /l..5#o4 L NE 8s-vo . P/2./ s,4t14 c4.3W07 License # CO " 5 1 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/ Sill 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/ Silt 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 A/C Fences (Piot/Survey /Footage) Driveways -Not over Counter If on public roadways..needs ROW