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813- 78U -UUZU uty LP LCFJI Iyl i nna r i 11 It npt.imJauvi 1 (�� Building Department ( 1 �/ Date Received- Phone Contact for Permitting 8 / -- 3 43 Owner's Name A f v/i/M /7/0,4-14.5 Owner Phone Number ( .) 4 7 4 '2 4 1 - /1 t2 0 Owners Address / Latiru%ebve kle 4Z1C C Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address { / JOB ADDRESS 3 77/ '/ AA�1GyA/ 2 1 /LLJ / JAL 33510 LOT # cP S SUBDIVISION e / 4/ 4 7 N D / ° / 9 4 k . PARCEL ID# 03--. to -21-- 0.23 O - 00000" (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 I MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR 1 I COMM I 1 OTHER I 1 TYPE OF CONSTRUCTION BLOCK I I FRAME I 1 STEEL 1 1 OTHER I DESCRIPTION OF WORK N EW CoNST4UGT OA.) I wN ,AO,✓I BUILDING SIZE SQ FOOTAGE /53 / HEIGHT & SrePtcY I BUILDING $ .3 i 650 VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ y5/0 AMP SERVICE 5Z1 PROGRESS ENERGY n W "R.E.C. PLUMBING $ i/3Z l I MECHANICAL $ /. 9.c. VALUATION OF MECHANICAL INSTALLATION 1 GAS 1 ROOFING I SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS 472 i 'J n / FLOOD ZONE AREA 1 IYES I ENO BUILDER / COMPANY LE/V/1//9g- NO •/74 SIGNATURE � REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address 7 ..2% / At W45 Bs.vD - 7 - 4449 , 33409 License# C3C/ . SST5/ ELECTRICIAN MPANY 40/Yew 3ca 4i EG ECI e/L .Zit/ C SIGNATURE .' ' REGISTERED I Y/ N 1 FEE CURRENT I Y/ N Address , / . .3 1 / .5 /Pp"12 l O/4P, 744"tfl- 336/3 License# EC OD 0 .2S79 PLUMBER COMPANY BMW PLUM/3 //v& SIGNATURE REGISTERED n Y/ N FEE CURRENT Y/ N Address (03 AA/ y .S' a /2r vr2 v/� /,CL 335 License # CFG O .,2 /SD 0 MECHANICAL COMPANY 84/o/V'ETgCM4 /4/6 - /7/64/774/6., Or /I G SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address A Q. BOX - • .34yoNFT P /Nr, G1. I7V1 License # CAC (9-58 O 6 2 OTHER // COMPANY Co Jr L /A16 - : &fft /Ty 4 NG -rmG. SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address '/11/ 5MOAL L /A/F 8LVO SP20%. , tI 4 ASitiO 7 License # CC Co ST 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 wl 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 onslte, 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 Attomey (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