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813.73U-UUlU f Lily UI L rc„int rnt.iN,,vu,... Building Depai;mont . /) Q ?� d 3 (.3 ate Received `1, 2 -, Phone Contact for Permittin• el �____ v� ■ iwner's Name med./rat- SRetoo1' Owner Phone Number '12') ,,c / 4 7 `� .. `2 (2 0 • iwner's Address 4114s /t!IAtJ1E - 4"910 / Z40 'o! A i Owner Phone Number 1 ee Simple Titleholder Namer • Owner Phone Number l ee Simple Titleholder Address [ OB ADDRESS 1 G 3 35 M4(6/e= , omO / 2 Ei ° yyt ,, W eJ , / 33510 LOT # l • 1 E „ „ ' , ry , c / 1 PARCEL ID#1 0 3 -. t - 21- 0. O - 00000 79. (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED aril NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE 1 1 DEMOLISH MI INSTALL REPAIR , ROPOSED USE ET SFR • 1 1 COMM 1 1 OTHER 1 1 YPE OF CONSTRUCTION 121 BLOCK 1 1 FRAME 1 STEEL 1 1 OTHER I )ESCRIPTION OF WORK 1 4EP4 fR- / RE Alo0 1 .J/Ne--Li FA al/ (-c/ /I2,4 _ Ty 3UILDING SIZE I /3 7/ l SQ FOOTAGE 1 1 HEIGHT a `57v, y 1 ■... BUILDING $ 3 i, 6 co VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 3 ‘4/C) AMP SERVICE ® PROGRESS ENERGY 1 1 W,R.E.C PLUMBING $ Y32 MECHANICAL $ 1/.7 5(s VALUATION OF MECHANICAL INSTALLATION GAS 1 ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS F- OD ZONE AREA YES NO . c� ■. ■ •� COMPANY LENNA/2., y0.✓4 BUILDER t SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N I Address / 550 La. F AC_±li2 /o C t* rMti FFLAWA License C.3c/ A S51.51 ELECTRICIAN • COMPANY No u �a N E G ECT,C /L z A/ C ELEC i � SIGNATURE REGISTERED Y / N FEE CURRENT Y / N Address ,A3 •5K 1 P" 7 Ar /s o/''VD,'T :9- f/g. rt37 6/3 License # eC 00 0.25 79 PLUMBER - r COMPANY BAYONET pGr/MeS /NG, h<es 94 C SIGNATURE Klir) ` REGISTERED Y / N FEE CURRENT I Y / N Address I P 0 : '1 5,30: '' _ yoNf7 PeiNf 3 n7y License # C FG 0 _dri2.9 9 MECHANICAL / � COMPANY 8�4Y0A/E /ZuM4 /�t//G, /-4 0,1C-- SIGNATUR REGISTERED 1 Y / N I FEE CURRENT 1 Y / N 1 Address A O r OOx 5o 8 3fyoA/67 - R), vr G4-•i - 791 License # , CAC O,$$ 0 60 2 OTHER j w' ' COMPANY Co JreieL/ A/6- &gni ry A2.00 , �uG, -Z Va. . SIGNATURE � ' ' � REGISTERED I Y/ N I FEE CURRENT I Y/ N I , Address 1 12 //. 5#o,44 Lai f 5s v,o SP4ING,41/u `63/60 License # C— CO S 99 1' 1 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. II►lillil11 IIIIIIIIilillililllililiiiiiillilliiiiililli 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 (PIoUSurvey /Footage) Driveways -Not over Counter If on public roadways•,needs ROW