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813-78U -UUYU tally 01 .. JIlyiiiiiiJ rGIIIIIL r-wpm..cativi 1 _ Building Department `7 /656)0 Date Received- Phone Contact for Permitting 8 / Li 1.4 -- <03 6:3 IIIIIIIiiiitIw_U / Owner's Name AeNA/AA' ri // O ES Owner Phone Number ( T 2") ' / '7 -- / - / ,�1 00 �v Owner's Address /C l.l.// W9 ' At ' C ` � 3'3��"??t Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address �- JOB ADDRESS 3 4A�JLYN � 7FP /t a / L 3350 LOT # 1 6 3 SUBDIVISION 6 /44N46) i#-/- PARCEL ID# O 3-2 - 21` 0230- d0000 6- (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR I 1 ADD /ALT I I SIGN I 1 MOVE I 1 DEMOLISH IN INSTALL REPAIR PROPOSED USE 1 I SFR I I COMM I 1 OTHER I I TYPE OF CONSTRUCTION BLOCK I I FRAME I I STEEL I I OTHER I I DESCRIPTION OF WORK A Ew CONSTE.UCT% O/V ^ - 7 — CwN /40/44/70 BUILDING SIZE SQ FOOTAGE /-51,/ HEIGHT a %YIDe' I I B $ i 6 SO VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ 3 ,‘y0 AMP SERVICE 54 PROGRESS ENERGY ' 1 1 W,R.E.0 n PLUMBING $ 443-2 I 1 MECHANICAL $ 4 9S VALUATION OF MECHANICAL INSTALLATION I 1 GAS 1 I ROOFING 1 I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS 12 , n / FLOOD ZONE AREA 1 IVES 1 INO LFiVNA� / COMPANY BUILDER _ SIGNATURE/ _ REGISTERED I Y/ N I FEE CURRENT I- Y / N Address 0iv Alopoilwer B&fro -7 J Q.. 534O9 License# CSC./ A SSTS7 ELECTRICIAN ' /' COMPANY tpNo,u 504./ 6 e CTTC /G., .Z,V C . SIGNATURE C �� REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address , /03 .SK / PIP( ,€-O/ 0 4.fL- 336 License# Ec 000-25 PLUMBER COMPANY /'M VN/ P/-UM //V & SIGNATURE REGISTERED - I Y / N FEE CURRENT Y / N Address 3 2-1 ilk/ Y I ./Zr Vc2Y / 41,4C2. 33S License # CFC a ,2 0 MECHANICAL COMPANY 84y0A/FTKu4/0/4/l.., 44» t/ ', 0 I C-- SIGNATURE ,41‘ REGISTERED Y / N I FEE CURRENT I Y / N I Address A 0. Box S3 3sz Jr' FL3'/67(.1 License # CAC 0 413 0 2 OTHER COMPANY Co , releid NCT ahfjJL/Ty 4 -�`vC. SIGNATURE z ./ .. REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address ,74// .5 LA/ 81.-VD JP /4) !t/LG C43Wo7 License # c CO 5 9 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 •