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813- 78U -UULU LILY ui Lt p iyuInnJ ruiiini. r JJIu auv., � /_ <br /> Building Department (� <br /> • <br /> Date Received - Phone Contact for Permitting 8 / i 7b O 3 63 <br /> Owners Name 4eNNM Fl O,15 Owner Phone Number (TO) ' 7q - /7 2 V <br /> 33 w <br /> Owner's Address ,'3O / 4Lij J,,>d r 4( 2/L G f &tJL , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c 3 77.EO #94 ,e� ?E,07/ye,,l/tiJ 335 LOT# ‘ S <br /> SUBDIVISION E/LAN0 44411- PARCEL ID# 0 .240 -21- 0.230- 00000' -D6 d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ►r� NEW CONSTR I I ADD /ALT I 1 SIGN ( I MOVE 1 I DEMOLISH <br /> IIIIII INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 I COMM ( I OTHER 1 1 <br /> TYPE OF CONSTRUCTION tiK BLOCK 1 f FRAME ( 1 STEEL 1 1 OTHER <br /> DESCRIPTION OF WORK /YEW CONSTZUGT On) - roomy A oA4es <br /> BUILDING SIZE SQ FOOTAGE /53/ HEIGHT a -.5 e& <br /> i 1 B $ 3 /,65-0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ s ‘ 0 AMP SERVICE PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ y3; 5 <br /> MECHANICAL $ .7 /S VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS /2"97 FLOOD ZONE AREA 1 YES 1 NO <br /> BUILDER / COMPANY ZEN/VAf— NO / 4 t"S <br /> SIGNATURE .. . o .e ! REGISTERED I Y / N 1 FEE CURRENT I Y / N <br /> Addres� /v G✓0TO�//• - 64 let, 7'T, r S 3G09 License# COG/ m S'S'7.5/ <br /> ELECTRICIAN COMPANY COh'c�u 504/ Ec (CT .Z C <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N <br /> Address , . 3 1 / .SK /fiP IQ. f204Di 7#4wAt/'i- 336/3 License# Ec OD 0.2579 <br /> PLUMBER COMPANY ,. BMvs/ Ph-uM6/A/& <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N <br /> Address l0 39-1 /-iW 5 .I2i t/E2 4 2 33S7j License # CFG 0,2 /,s"O 0 <br /> 84 on/ET guM4/4/!s, /4x677• /6., 6 f9'C . <br /> MECHANICAL COMPANY f <br /> SIGNATURE e ] REGISTERED Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address / O. 8O)( 5.3O 3�oA(r16 /Nr, Fc -35 License # CAPC 49 -5 - 8 ' S © 2 <br /> OTHER COMPANY C. • TEIeL/I16- &9L / Ty /QQOF7.06;. ve. <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N j <br /> Address ¥2// IYOFIL LAI F &.v,O (SP4/AIG 7 License # CC* CO s 7 99 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -OM Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instated, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> 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. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for at NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) <br /> '" Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />