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813- 78U -UUYU Lilly UI cxpIlyillnla rvlllni. nJNnR.auv,, / / � Building Department / Date Received- 3 ✓ Phone Contact for Permitting 8 / � Owner's Name 4&VA/,9, /1/0/414.5 Owner Phone Number (19 1 7 4 1 2 q -- 11 0 0 � �v Owner's Address / 1-1 //its/,$9(4 t (' &2/t; 01-64 ✓f 2 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address �Y , S N RP Ef ,e 4itt i f 335 #'0 LOT # 6 4, JOB ADDRESS � �� 4AL � � 2 y / SUBDIVISION 6 / L K I N 0 Mk*. PARCEL ID# 0 3 --Z eco 2/ 0.230-- 00000--00 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED t.:" NEW CONSTR I I ADD /ALT I I SIGN I1 MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I I OTHER I I TYPE OF CONSTRUCTION 10 BLOCK I I FRAME 1 1 STEEL I I OTHER 1 DESCRIPTION OF WORK /Y E J CONSre0C- ii ON 1 AL0i4.ffS BUILDING SIZE SQ FOOTAGE /5 / HEIGHT a , 5 . " 7 "De' ' I B $ 3 / 65-o VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 3 r" '` AMP SERVICE PROGRESS ENERGY . 1 1 W.R.E.C. PLUMBING $ Y32 J I I MECHANICAL $ 4142 5 FI/S VALUATION OF MECHANICAL INSTALLATION I 1 GAS r ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS 472 9 I FLOOD ZONE AREA I IYES nINO BUILDER .I/ C LE/V/VAe- O/ ✓IS S SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address W • 4e( 81410 �i56'4A, / 4 33409 License# CSC •R SS1..5/ ELECTRICIAN Zee' COMPANY £o//ou 50 A./ EG EGfac /G. :Z/t/ C . SIGNATURE , REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address , / 437 .5K/ tA /204D 4,4 fL. 336". License # Ec 0 o -2s 79 , PLUMBER COMPANY 2/y / n / A4 6 SIGNATURE - REGISTERED ` I Y / N FEE CURRENT Y / N Address 6 //h/ }/ v S . /2/ VE2l/ /£J, -G 33S'7S License # CPC- 0 � /,,5 0 MECHANICAL COMPANY 9 0/�/ET idits ', 1/6,/77 A G /rl. SIGNATURE / ) REGISTERED Y/ N I FEE CURRENT I Y / N 1 Address A 0. so)( S30 a4yo / 7 J6 /Nr FL..' ?9i License # CAC oS9 0 2 OTHER COMPANY C. ,'rEteL. /�(/(�- !`�dit/ry /g NG,. -ZNC. SIGNATURE _ REGISTERED I Y / N I FEE CURRENT 1 Y / N I Address 5/2// 1044 UuF dc-vo , .SP21111 G /"f" /LL, 3s407 License # . - Co 7 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