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813-780 -UU2U Lily 01 LCNIIyllnna rut um. nNNnvauvii �� Bullding Department Date Received- Phone Contact for Permittin 8 / 17, '° 3 6 Owner's Name biNA/0 110,414s Owner Phone Number (TO) I ' y/'7 - /1 00 33 �a Owner's Address /5 l./ (/ 1% 4 2/t G 444E_3p , Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 77/4g ye ,9it J i%G 335�o LOT # (D T SUBDIVISION L/OVO / PARCELID# 03 -.240 -2 /` 0'23O- 0000x b (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I•= NEW CONSTR l l ADD /ALT 1 I SIGN 1 I MOVE 1 I DEMOLISH INSTALL ( I REPAIR PROPOSED USE I I SFR I I COMM 1 1 OTHER 1 I TYPE OF CONSTRUCTION BLOCK I I FRAME I I STEEL I 1 OTHER I DESCRIPTION OF WORK A E f CONSTR-UCTi o,J 1O1.-LJN / 0A4 BUILDING SIZE S4 FOOTAGE /-51.3/ HEIGHT a sib icy w I I BUILDING $ .5 / 6 So VALUATION OF TOTAL CONSTRUCTION • I I ELECTRICAL $ 3 i7 0 AMP SERVICE 154 PROGRESS ENERGY I I W.R.E.0 1 I PLUMBING $ y3: I I MECHANICAL $ 4 95- VALUATION OF MECHANICAL INSTALLATION I I GAS I1 ROOFING I I SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS /2" n 4 FLOOD ZONE AREA ( YES 1 INO BUILDER / COMPANY LEN/Wig �7 O �ts SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address 'cON A/(('; '. 84 fro "C . / 33Lo9 License# CSC./ .R 55 ELECTRICIAN COMPANY iD C /YeA/ 5o A/ . e-crec L Zi/ C SIGNATURE .,/ " REGISTERED ' I Y / N 1 FEE CURRENT I Y / N Address , !_3 y .SK CR /a0 D / 'T.441/41 -i, 3361,3 License # E 00 0.25' 79 PLUMBER COMPANY /3 1 VI PLuA4 6 i/J & SIGNATURE i. - REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address ((9317 Aih/,„ o/ S ./21 vC21/ /£(1,cL 33,5 License # CFCO„2 /SO 0 � COMPANY 94 On/ETgu,Yld /d/6 /9 / 7%a/U A � /{C— SIGNATURE MECHANICAL �� REGISTERED y Y/ N I FEE CURRENT I Y / N Address /e). 0. Box .53o a #9YONET/o /Nr, I c-Jsip71 License # CAC (9.59 ' 9 0 2 OTHER COMPANY C! SIGNATURE / - REGISTERED I Y / N 1 FEE CURRENT 1 Y/ N I v Address I �2ii 5#O14t L /NE' 8LVO cSP2/N4 //a4 Li3WC q License # _ Co Z 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 protects 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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter If on public roadways..needs ROW