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813- 73U -U0LU' laity UI LipIiye1nn.7 rceee111. nl <br /> Building Department <br /> • <br /> • <br /> • <br /> Date Received f <br /> ✓ •( r • • Phone Contact for Permittin, / 1 /7,6 -- d 3 63 <br /> Owner's Name • AENNf9IQ //O,y.ES Owner Phone Number C /3) • '7(9 <br /> Owner's Address (o DO N' (N,SFS/FOR.E. SLrp .1;r►fA 4,36O? O wner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number '. • <br /> Fee Simple Titleholder Add ress / ,/ / <br /> JOB ADDRESS l0 Zlp " ! /M ' c/Q / LA 7 e� /Ls J j �L '335 #'0 LOT # /05 <br /> SUBDIVISION. 8 /LI47NL) "/Q��L. • / . PARCEL ID# 21.-6;23 Q.— .000o0- /D.5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED p NEW CONSTR ADD /ALT n SIGN n MOVE. •n DEMOLISH <br /> NM INSTALL REPAIR <br /> PROPOSED USE . n SFR n - COMM ( OTHER 1 I <br /> • TYPE OF CONSTRUCTION BLOCK I 1 FRAME • n STEEL <br /> n OTHER <br /> DESCRIPTION OF WORK gE v CoNSTzUCT, 011/ 10Gc.)N / OiviaEs <br /> BUILDING SIZE SO FOOTAGE /63 / HEIGHT S re,,e cam. <br /> • Q BUILDING $ <br /> / SD VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ <br /> y0 AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> FT 3 `>` <br /> PLUMBING $ lf3.5 <br /> MECHANICAL $� TS VALUATION OF MECHANICAL INSTALLATION • <br /> 1 GAS n ROOFING I 1 SPECIALTY ( 1 OTHER • <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES nNO <br /> '?04/0 <br /> BUILDER COMPANY ZEN^/A/e— #0 <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N <br /> Address kO N A✓os 8i. 7`#1114" 1 /4 534:79 License # G C/ .? S S <br /> ELECTRICIAN / - • • COMPANY 4Oh'op 504/ & 6? 1Z /G. - XA/ C <br /> SIGNATURE ) REGISTERED I Y/ N I ''FEE CURRENT I Y / N <br /> Address , / o34 .Y/ ' 'At / f✓ (9iQA.�,4at1�lj fL 336/3, License ,# EC OD "5 <br /> PLUMBER S ! COMPANY . / W P.1--uM3 /A <br /> SIGNATURE ' / REGISTERED Y/ N I FEE CURRENT I Y N <br /> Address 6 37 //'V d/ S 1 .12r.ve 1. Y /,E41,CL 31,5W License # ' ` CPC 7 /5 0 <br /> MECHANICAL / // COMPANY 8 Olt /ET/guoyd /4/67 f1E07/.at/<r., � f{C� <br /> SIGNATURE • • G • • - REGISTERED Y / N I FEE CURRENT I Y / N I <br /> A <br /> Address >", 0.. 80K S ' 43.Qyave7vINr, PC-35 License # 64'c d S 0 6 <br /> OTHER / COMPANY Co. NS Ah9[ {T"y'iPo ,uo ..Zvc. <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N i <br /> Address ) ' S f 2 . // 5 4 Q 4 L /iE` 8 vo ` SP2OV 6 /4i1.4 AG3S/iO <br /> License # CO S? <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction,. <br /> • <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 •/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements mustineet compl iance <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 cgntractor) 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways.:needs ROW <br /> • <br />