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813778U -U1lU laity Di 4 viiiiii .7 rcutlin rAHNnvauvii Building Department • Date Received 9 - . 71 Phone Contact for Permittin, 8 / L.7,4 -- O 3 63 Owner's Name • 4�,V,4 ' /7 O,✓fifS Owner Phone Number (8 3) 7(9 " S z 77 Owner's Address 400 /V fS/,FO, 4 . &LfD 149 A- 33609 Owner Phone dumber Fee Simple Titleholder Name O Phone Number Fee Simple Titleholder Address „,/ , � . / JOB ADDRESS 32 j/ ...--r, ,/ 517 2EPi,/yie 9 /ta :33S9O LOT # / 6 .. SUBDIVISION. ' • 6 / 4 4N D " ; T I C j 1 L , • . PARCEL ID# 0 .3 .24 -2 /" 0:23 0 00000 -/ 6 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED • I►P♦ NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH In INSTALL REPAIR PROPOSED USE n SFR I I• COMM I I OTHER I ,_, . I TYPE OF CONSTRUCTION ,I / BLOCK n FRAME ' n STEEL n OTHER I DESCRIPTION OF WORK • /V CO A/ST,UCT OA) " 'Town/ /SLoA4 E BUILDING SIZE • SQ FOOTAGE /53 / HEIGHT a Jib c.,_y n B $ i / 45P VALUATION OF TOTAL CONSTRUCTION n ELECTRICAL $ 3�y0 AMP SERVICE PROGRESS ENERGY r W.R.E.C, I PLUMBING $ 1f32.7. 1 1 • MECHANICAL $ 4 / ? v VALUATION OF MECHANICAL INSTALLATION I GAS n ROOFING I I SPECIALTY r OTHER FINISHED FLOOR ELEVATIONS 9 / o FLOOD ZONE AREA I YES 1 BUILDER COMPANY LENA/Ag_ #DA'/t S SIGNATURE r REGISTERED I Y/ N I FEE CURRENT' I Y/ N 1 Address SIGNATURE . At . Wos •' • &i-g, - 1 - 74 1 141 /4-- � 33609 • . License# • • C.3G /:1 'SS ELECTRICIAN COMPANY 11-1NYop mo o/!/ C ECTZ /G,: - .Z/t/ C . SIGNATURE /� LL r REGISTERED ' I Y/ N I FEE CURRENT : 1 Y / N Address , /P3 .S 1/°,7'. /el9/9 .4MALfe' 33613 • Llcense# Vic OO 0 . 2 579 PLUMBER COMPANY . 1.1 !" 1 iN/ PLu A4 6 /A/ G SIGNATURE . / • REGISTERED 1 Y / N 1 FEE CURRENT I' Y / N I Address 6.31-7 // 3 S' i ./'21,t/E2,4 - 6e,CL 3351$ License# " CFG 2 /SO O MECHANICAL COMPANY 6. O/✓E7�/ ontd /4/6 •; / /6071.4/G.� 9.1 c... . SIGNATURE REGISTERED Y/ N J FEE CURRENT .1 Y/ N 1 • Address F, Q. Box 5 ,O ' 3 ' aver ? •wf FL -35 4 .License # !CAC iP58 © 6 2 OTHER COMPA C. d TEI�L� �Vt < 1 � �9 [ i 1-9 r . .', .T.yv SIGNATURE _ REGISTERED 1 Y/ N I FEE CURRENT' I Y / N • Address Y2 //. $'#o4 L /uE 8s. v �5P2/wG /'I /LG, L63Yjo7 License # - 1 . /.1 A.:dr CO $ 7 99 f RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -om 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 -0 -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. 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 Attomey (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 NC Fences (Plot/Survey /Footage) Driveways -Not over Counter If on public roadways.: needs ROW