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813-780 -UU'lU Lilly UI Lc pi iyi i iiii rc„ nL nNNi,vuu.". f I T (1 tp <br /> Building Department �J � <br /> late Received- - Phone Contact for Permitting 8 / _ Li 74 I -- 0343 <br /> lwner's Name ‘ATr4N.ii t/AILGA.O #/ZE S Owner Phone Number (q2') 1119 G7 ` 00 <br /> Iwner's Address . .3705?• , ,4L/-9 ---TE.1..74- Owner Phone Number <br /> se Simple Titleholder Name Owner Phone Number <br /> 1 <br /> ee Simple Titleholder Address 1 <br /> OB ADDRESS 3 7552 . D.9A/// 7(5 . 7EP4iye///L�t �- 33S'0 LOT # , 20 8 <br /> IUBDIVISION f 6 /44ND 4 1 PARCEL ID #F 0 3--2 - 2 /" 0.230-00a00--? 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> YORK PROPOSED p•r4li NEW CONSTR ADD /ALT 1 1 SIGN 1 1 MOVE 1 1 DEMOLISH <br /> r IN STALL REPAIR <br /> 'ROPOSED USE Q SFR I COMM I i OTHER <br /> YPE OF CONSTRUCTION JO BLOCK I I FRAME I I STEEL I OTHER I ,/ <br /> )ESCRIPTION OF WORK I� EPA ' ! Re Al ODE4 .TM/G" -t F4� /�/ ��SS /£G6 7.4 <br /> 3UILDING SIZE SQ FOOTAGE / 5 / HEIGHT a ,57 -b , ' 1 <br /> B $ 3/ 4.5-o VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ <br /> 3�f AMP SERVICE ® PROGRESS ENERGY 1 1 W.R.E.0 <br /> PLUMBING $ Y.-F <br /> MECHANICAL $ 41,2 5(S' VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 1 SPECIALTY ET OTHER _ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 INO <br /> _ . •,. a _. <br /> r <br /> BUILDER 0` COMPANY r LiAw4e. o» 7E <br /> SIGNATURE 2 REGISTERED I Y / N 1 FEE CURRENT 1 Y / N <br /> Address 556 1..16 // '", £k Z'0 Citiknotreit License# CSC.../ A SS1.5/ <br /> ELECTRICIAN ,1 S . 0 COMPANY £Dlyoxi 5 O i J EG ECileIC.. ZN C <br /> SIGNATURE ! REGISTERED 1 Y/ N 1 FEE CURRENT Y / N <br /> �---- <br /> Address , /0 . ■5K /Pl r /20RD,'?Atirp� / 6/3 License# EC OD O.2S <br /> v <br /> PLUMBER B I V0/ ET PGLIivf66Nb./ <br /> ,. vo-. 9 4 C <br /> � Z, OM <br /> SIGNATURE ` "' l - / R PANY Y / N FEE CURRENT Y / N <br /> Address PO .%O,X 530 : 4/P/InvEr Avar C435467(/ License # _ GC 0 4< 9 9 8 <br /> MECHANICAL • (0 COMPANY 8'4 0A/��vM f/6s, hOi`e67- 77f/o., 6 4' _ <br /> SIGNATURE �t •/ REGISTERED I 1 N FEE CURRENT 1 Y / N 1 <br /> v 1 <br /> Address A O. 8O)K 5308 artiyONF77 /Nr, ,cL.3y67V License # CAC OS 0 6 2 <br /> OTHER COMPANY c. S'rAe4 /rv6- ll�1/9[rry rQaoFNtr, <br /> /� <br /> SIGNATURE / 1 / REGISTERED ( Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address ¥ f2 /1. 5//orn L /IV F 84.vo c5P2IN , r4t /64 663clo 7 License # CC Co 57 99 7 <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 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/ Slit 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 /> 411111144114HH1H-HfIi - H4 4 ' 4 " 51-4 <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 (PIoUSurvey /Footage) <br /> Driveways -Not over Counter If on public roadways.needs ROW <br /> • <br />