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813- 78U -UU'LU laity 01 L I y T I I I I I J rci i i nt ('1ppm,czw T" - ' ' --i r L �. J Building Department Date Received- Phone Contact for Permitting 8 / Li 7d I -- 03 633 / O wner Phone Number (�'` fin) '' frig -. //00 Owner's Name ��/V/1/�IQ n OM�'S I / 6 C / � Owner Phone Number I owner's Address l « �0 t•Le'��w�"� bit � Fee Simple Titleholder Name! Owner Phone Number Fee Simple Titleholder Address 3'2'7 Q S 4 / ZEPllY�e ,iit(r/ L 335 0 I LOT # 1 �i / I JOB ADDRESS / / ION 6/44 'Jz P/yl�1 I PARCEL ID #1 O 3--2G 0.23 0- 00000-0 ‘/O I SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED p. NEW CONSTR 1 I ADD /ALT 1 1 SIGN 1 1 MOVE 1 1 DEMOLISH IIIII INSTALL REPAIR PROPOSED USE I I SFR I I COMM 1 1 OTHER TYPE OF CONSTRUCTION 10 BLOCK I 1 FRAME I I STEEL 1 1 ((�� OTHER 1 1 DESCRIPTION OF WORK l AlEW CoNs'reucT o - 'Tawny /,c0,✓.es V.J1d -- T�T / I BUILDING SIZE 1 I SQ FOOTAGE I /3 7/ I HEIGHT I a jrb'Cy B I$ 3 i, 45.° 1 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 1 AMP SERVICE ® PROGRESS ENERGY 1 1 W.R.E.C. PLUMBING $ 643 1 MECHANICAL $ 4 TS VALUATION OF MECHANICAL INSTALLATION I GAS I 1 ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS / i n D FLOOD ZONE AREA 1 1YES 1 INC) BUILDER COMPANY LFN/V NO.✓!�S SIGNATURE -) REGISTERED I Y/ N I FEE CURRENT I Y / N I hb- �/ t3G/ SS5-17.51 Address A✓ 8 1.vD ��ii' 19, 33409 License C ELECTRICIAN COMPANY 41)//o/./50.A../ EG EC ie /C 2/1/ C SIGNATURE , REGISTERED I Y/ N 1 FEE CURRENT I Y/ N ) Address / Dg 4/ .SK /P i2 /2019P, 336/3 License# eC OD 025 PLUMBER COMPANY R P u M 6 /N 6" SIGNATURE - REGISTERED 7 Y / N FEE CURRENT Y / N Address 3 1' 7 /lk/ } s -, Address 335$J License# CFCa.? /So 0 MECHANICAL COMPANY 84 0A/ / c/mel/4/4. /`4 0�C 3" - SIGNATURE I REGISTERED � Y / N 1 FEE CURRENT I Y/ N 1 Address A U. Sox S3 3egyaverPinrr GL35/671.71 License # CAC OS C / 2 OTHER COMPANY C, NirEI /A/6- d/9L /7 Reic VC• SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y / N 1 Z Al2 Address -5� //0gt Liu F 8t-VO sP2'IV6 �`t '/ /z., c4si 6o 7 License # CO" C 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 (Plot/Survey /Footage) Driveways -Not over Counter If on public roadways..needs ROW