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813778U tally UI Lupilyt limb rCIIInt nJNnvauvi1 • Building Department • Date Received I __ � / / v Phone Contact for Permittin e S I L/7b - '1'3 43 • 111111111111 111 Owner's Name • AelvA 4i' HOMES Owner Phone Number L ?/.3) '7:61 - $277' Owner's Address 14 00 /V ZJ SFS/FOgE. et-fro -7 ,4.$36,o7 Owner Phone Number • Fee Simple Titleholder Name Owner'Phone Number . Fee Simple Titleholder Address 2 , / p JOB ADDRESS 6 33L 4/ ti /SL.y L,V 7FPii1/£�/la f `.33590 LOT fog SUBDIVISION. e / L ■g N e ) . /194/1-. ' PARCEL ID# 0 3 - 4 "• 21- 023 0 00000 —/ 9t ' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED • I' "♦ NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH In INSTALL REPAIR PROPOSED USE ' 1 • I SFR 1 I COMM n OTHER I TYPE OF CONSTRUCTION BLOCK n FRAME n STEEL n • OTHER I I DESCRIPTION OF WORK Al EW CoNSTeuCTl On> -- 1 u- AI / Acm4 s . • BUILDING SIZE SQ FOOTAGE / .3 7 HEIGHT a Jry e. I B $ q � ✓ 6 s0 VALUATION OF TOTAL CONSTR I I ELECTRICAL . $ .3 yo AMP SERVICE PROGRESS ENERGY In W.R.E.C. � I PLUMBING $ Y32S • I MECHANICAL $ 5�S' VALUATION OF MECHANICAL INSTALLATION I I GAS • n ROOFING I I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS 90 / o FLOOD ZONE AREA nIYES fl NO 1 f/ • BUILDER / COMPANY ANA l7 0 Al.eS ., SIGNATURE REGISTERED I Y/ N I FEE CURRENT ' I. Y/ N Address - /1 ' N "ks" . . -� 81-fro -710v 71 o, .53 Lo? License # C13 G/ +Z SS"7S / ELECTRICIAN - COMPANY 4D/Vo,u moo�J a C. •t� e=C/G,. - ZA/ C • SIGNATURE REGISTERED • I Y/ N I FEE CURRENT I Y/ N Address , / ! j 4 / / .SK/ % ' /e0/` PTfi4M^f r& 336/3 License # • EC 00 02579 PLUMBER / /� COMPANY . /3•'11,A/ P.�uM •" / 6'' SIGNATURE � . REGISTERED I Y/ N I FEE CURRENT I Y N Address , 6.317 ,4' / y - 'IS ,./21 VE2!//£ ,c2. 33,7 License # Cf22/.O 0 1t� MECHANICAL COMPANY 9 o vy7G�f/6�ffE/A4/!r/ A SIGNATURE REGISTERED Y/ N I FEE CURRENT ` I< Y/ N I Address ( /'° O. 8OK - O R y a v E 7 /IN r , Pt. 35 . License # I CAC mS$.. 0 r 2 OTHER COMPANY C..TEel...I V6-; J/IC! /QOOFi&,..ZvC. SIGNATURE REGISTERED I Y/ N I FEE CURRENT' I Y / N I Address I g.g//. 5#o44 L /OF 431.uo SP/ 4V6 / Fi3S'I0 7 • • License # , ; •e& CO. S'? 99, I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fomis; 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 requlrements 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 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 (Plot/Survey /Footage) Driveways -Not over Counter If on public roadways.:needs ROW •