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813.7t5U -UU4U l.rlly VI LCpIlyilinia r n MN""` - " ""' + n(t/ Building Department I (,/ (f l 03 � 3 ■ ate Received- L/ Phone Contact for Permitting � / / ►wner's Name ' P4�'f E.77 /r! / / Owner Phone Number (1 ,` r )) 9 q ` /1 0 0 Iwner's Address 3 755 0 . 71!4 -,l##?' 7i ' _ Owner Phone Number ee Simple TItiehOIder Name Owner Phone Number • ee Simple Titleholder Addres , 1 S5'0 So �f � / ,e,s� /"�I �L 3354/0 LOT # 20 OB ADDRESS 3 J �e G// -/� � EPyy IUBDIVlSION 6 /LP 41411- PARCEL ID# 03-24,-21-0.230- d0000 - 0 70 (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED pn NEW CONSTR [ l ADD /ALT I 1 SIGN I I MOVE I 1 DEMOLISH IIIIII INSTALL I REPAIR 'ROPOSED USE Q SFR • I COMM n OTHER YPE OF CONSTRUCTION 10 BLOCK I 1 FRAME 1 STEEL I I OTHER • • )ESCRIPTION OF WORK kg/m Ni- / Re no DEG .J /NG'Lt FAiM'e-c/ Af-Fs /w ee - 7W 3UILDING SIZE SQ FOOTAGE /53 / HEIGHT a.sre,e BUILDING $ 3 i/ 6 SD VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ , L, !v AMP SERVICE ® PROGRESS ENERGY 1 1 W,R.E.0 wg PLUMBING $ Y3.7,5-- MECHANICAL $ 4 V5-- VALUATION OF MECHANICAL INSTALLATION GAS I 1 ROOFING ( I SPECIALTY [ I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES I INO BUILDER \ �6 ' COMPANY LFNNA,e. ✓!0.e5 SIGNATURE �� REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 Address SD L.l(►M' / At fi1 /o CleikeNsrett,F1730. License # C I3 G / •? 55 ( c l ELECTRICIAN k`� � COMPANY tl>h'otu o ok/ Ec 6 crle /L _ZA/ C SIGNATURE S' — > REGISTERED I Y/ N 1 FEE CURRENT I Y / N Address , . y .SK /P/p%' /ea/ 77;4 33 6/3 License# EC 000zs � PLUMBER . t` ` COMPANY $Ayor/E7 Pt.ume, NG, 1in,6 -, 94 C SIGNATURE ✓ REGISTERED I Y / N FEE CURRENT Y / N Address ,0 8O,K 3308 , 0A/FT Zb/Nrljc 3V671(j License # C PG 0.4 9 98 MECHANICAL 3 V COMPANY B4/On/E7 /1619774/6-, 1 / . ^/ C- SIGNATURE ' F REGISTERED Y/ N I FEE CURRENT I Y/ N I Address /, 0, o)( 5.3 OR 34 cover i2/N7 F4- License # Co'c OS'S 0 6 2 OTHER Co Jrh' / Ai6- A)Ini A2O0F /�tJG -rem. SIGNATURE � � REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address I /2 //. 5#04L 1,./41F 3i-vo ,SP/2,/ N6 At/u c43W07 License # CG- Co S7 99 / 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/ Silt 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 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 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 •