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813 ThO UUZU lolly 01 Buflding Department .cloy" (" <br /> • Date Received- f �r Q L/ ?b -- (034-3 <br /> v Phone Contact for Permitting U � <br /> Owner's Name ^ A &N AA< //O,4 lt'S Owner Phone Number (79 l i 9 4 7 -- / / 0 0 <br /> 334,2 <br /> Owners Address `SS 50 /441024,044. l4. CL6 it JfirElLFL. , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I 1 <br /> I <br /> Fee Simple Titleholder Address I <br /> 3772. Amy/t/ mt ,e� 7ttogye '9it1c //L 3359 LOT <br /> JOB ADDRESS <br /> SUBDIVISION 1 67 4A/0 / I PARCELID #1 O3— .2G-21-0- 230- 00000 —Dda <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED priii NEW CONSTR I I ADD /ALT I 1 SIGN 1 I MOVE I 1 DEMOLISH <br /> NM INSTALL ` 1 REPAIR <br /> PROPOSED USE 1 1 SFR I 1 COMM I 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME 1 1 STEEL 1 OTHER I <br /> DESCRIPTION OF WORK N Ew COA/SneUCT ON — - TOWN /40,40% <br /> BUILDING SIZE SQ FOOTAGE /...37/ HEIGHT a , s7ecy <br /> I I B $ 3 i 65-o VALUATION OF TOTAL CONSTRUCTION <br /> , <br /> I I ELECTRICAL $ AMP SERVICE tr.1 PROGRESS ENERGY ( 1 W.R.E.0 <br /> PLUMBING $ y5 3� I) 5_ � <br /> L/ <br /> ( Ill.? Ill.( MECHANICAL $ V.S. � VALUATION OF MECHANICAL INSTALLATION <br /> - �C3�� <br /> GAS ( 1 ROOFING <br /> SPECIALTY 1 1 OTHER _-( <br /> FINISHED FLOOR ELEVATIONS q2 n / FLOOD ZONE AREA I YES 1 ( OIL 0 oe <br /> BUILDER ✓ / COMPANY , � //0/ <br /> SIGNATURE , REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> 33 L0 License# CSC,/ A S5T�l <br /> Address 0 k/�n!//gQE i {�D - 714449, 9 <br /> ELECTRICIAN COMPANY CONo,U 50 E'C (Cr,C /L .Zi1/ C <br /> SIGNATURE ✓ REGISTERED ' I Y/ N I FEE CURRENT I Y / N <br /> Address , / t23i/ ..57Z /Pf? ,€-O /1 33 6/.3 License # fc OD 0 .2 s 79 <br /> PLUMBER COMPANY ,M 1I PL- uM/3/ <br /> SIGNATURE REGISTERED — I Y / N FEE CURRENT Y / N <br /> Address (o 37 h/ y 3o ,./2/ vC2!/ /£�fL 33578 License # CPC O-2 /SQ 0 <br /> MECHANICAL COMPANY 845 e/"V•t/G, 11609774/6-, d /ft C-- <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N 1 <br /> Address A o. BOK .5 84yoit/FT70'/Nr/ GL35 License # CAC O$g 0 6 2 <br /> OTHER COMPANY Co JrE/pL /416 &ft / Ty /P A16) TvC. <br /> SIGNATURE I REGISTERED I Y / N I FEE CURRENT 1 Y / N I <br /> Address ¥2 // 51/0144 L /dI F 8L-v,o c$P4W4 /'/u 3Y`o7 License # CC Co s 7 99 7 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 subdivisions /large protects <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 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 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter If on public roadways..needs ROW <br />