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813 -78U-UUZU la ity 01 L I IyI I IIIIJ rui ma rNNnvauvi i / � � (j� /_ Kl �j <br /> Building Department D l <br /> Date Received- Phone Contact for Permitting 8 / ii ii, -- `o 3 6 3 <br /> Owner's Name _ 4 &V /A/Q A ri OAFS Owner Phone Number (TOO) � 9 C I -- / l c2 0 <br /> 33w <br /> Owner's Address 4676 7"5 - 0 4/.6/17240,4 11C 1 A Ccfa,�444/ Z- . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 7722 4 Reo 2EPyy�e ,9/t4r, 33S o LOT # r !O 9 <br /> SUBDIVISION 674/gN0 . / RC� PARCEL ID# 0 3%240.2- 0.230— 00000-6 6 / fr i0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED . ril NEW CONSTR ADD /ALT ( 1 SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I ( SFR I COMM ( I OTHER <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME I 1 STEEL I 1 OTHER I f <br /> DESCRIPTION OF WORK A/ EA/ Co/t/Sri2.uGT ON " 7 °w^/ 140A 4.E' <br /> BUILDING SIZE SQ FOOTAGE 1,3 7/ HEIGHT & J7VI 9 <br /> n B $ 3 / 65-0 VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ g y0 AMP SERVICE ® PROGRESS ENERGY - 1 1 W.R.E.0 <br /> PLUMBING $ Y3 .75 <br /> MECHANICAL $ 1 /.7 9.5-- VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS /, n / FLOOD ZONE AREA AYES ENO <br /> 7 <br /> BUILDER . //� COMPANY L,FivNAg. /7 / <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address A ' 41' 0 At A✓E67ttN ' 8ic ND ---r;fteA, ce- 534o Q License # <br /> CSC/ 0R 557 .51 <br /> ELECTRICIAN ��/ COMPANY 40/yoN 3o i1/ �L 6 ..Z/Si C . <br /> SIGNATURE ,....3.....__ REGISTERED I Y) N 1 FEE CURRENT I Y / N <br /> Address , / (J y •.SK /f _ /ud/ tfie 336/ 3 License # EC 00 0.25 <br /> PLUMBER COMPANY BM l i . ' / / A > & A4 6 & <br /> SIGNATURE REGISTERED j Y/ N FEE CURRENT Y/ N <br /> Address l03V- mv Y 30 S /ZI vc21//Ea/F2 33576] License # CFG /So 0 <br /> MECHANICAL 8' /O //ET/C6'»ld /4/6, /16#977'vlr, 0 /�C- <br /> SIGNATURE REGISTERED ( Y/ N 1 FEE CURRENT I Y/ N <br /> Address // Q. •%O)C .53 a',yOA/Fr/O /Nr P License # CS'C OS$ 0 6 2 <br /> OTHER COMPANY Co N /6- ( qi i y /PcoF/NG, _rya. <br /> SIGNATURE r <br /> �1 REGISTERED ( Y/ N I FEE CURRENT Y / N I <br /> Address T2 //. 51/04L L /NE' &—vO �SP4411 /IfL4 LL3SW607 License # CO CO 57 99 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Slit Fence installed, <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 -0 -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 all 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 Attomey (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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />