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813- 780 -002 <br /> Building Department <br /> . j °131 <br /> late Received <br /> - • 0 % v Phone C act for Permittin. (7 q -10 g -- ' t. 6 - ' <br /> ( TE12 i _ Owner Phone Number <br /> )wner's Name I ChAr1 (L I <br /> I l I Owner Phone Number 1 <br /> )wner's Address 1 i 44 `i 'v I I <br /> I Owner Phone Number 1 <br /> :ee Simple Titleholder Name <br /> Fee Simple Titleholder Address I <br /> 61�g LOT# <br /> JOB ADDRESS <br /> . I PARCEL ID #I 0c2-24,-/—(.20(3 -0 — v ,;;V------64.) I <br /> SUBDIVISION ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ADD /ALT 0 SIGN I I MOVE I I DEMOLISH <br /> WORK PROPOSED NEW CONSTR AIR <br /> _ INSTALL REPAIR <br /> PROPOSED USE 1 SFR I v I - COMM Li OTHER <br /> TYPE OF CONSTRUCTION I BLOCK 4Z1_ FRAME • I <br /> STEEL Q .OTHER <br /> DESCRIPTION OF WORK ,- <br /> �pNVEV- t of A . , OA 2 - co► - I,WM (A 9EN 1 SF L,vt,t)G ptu�• <br /> { SC) FOOTAGE , 0 I HEIGHT <br /> BUILDING SIZE �� \ i D 1 <br /> BUILDING <br /> 1.$ ' • I 0 0 I VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ) 3 O . O I <br /> AMP SERVICE 1 ( PROGRES ENERGY 1 1 W.R.E.C. <br /> I i / g <br /> PLUMBING IS I <br /> MECHANICAL $ <br /> , Z O. o I J VALUATION OF MECHANICAL INSTALL /I ' <br /> " . / <br /> =I-- =I-- I ,i � I �I ���° • <br /> I I GAS ROOFING <br /> SPECIALTY 1 OTHER I C <br /> FLOq ZONE AREA � IYES [_]NO � � /,, i-t" 'S <br /> FINISHED FLOOR ELEVATIONS l I w 6 � ,“i <br /> y <br /> 1 NIA . .. <br /> COMPANY I .._C- A ` ) 1 1. 0 E,e.S C O 4P <br /> BUILDER F EE CURRENT Y / N 1 <br /> SIGNATURE , _ . , _ REGISTERED I YIN � 1 I <br /> License # <br /> Address 0� I lt,---J <br /> L, . .47------'7 c • c.-1 ELECTRICIAN <<` �L, I COMPANY • <br /> SIGNATURE I f REGISTERED I YIN 1 FEE CURRENT I Y/ N I <br /> License # Ira / . 3 `)L-7 1 " <br /> Address I <br /> PLUMBER I COMPANY 1 <br /> SIGNATURE REGISTERED I Y! N I FEE CURRENT I Y I N I <br /> License # 1 Addres ( 0 I <br /> Y I / ECHANICAL 3 COMPANY <br /> IGNATURE V 1 REGISTERED I VT EURRENT YTh T <br /> I > } h License # I <br /> a ddress — '' �� <br /> -OTHER COMPANY <br /> SIGNATURE REGISTERED • Y/ N FEE CURRENT Y 1 N <br /> I ' . <br /> Address License # 1 <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 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 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. (AIC 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 />