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-1 - /4 (�J` r <br /> Date Received ,, ``+ ►/: ;I " J - Phone Contact for Permitting `7'U� (2C 81 ,2)-- �-7 �i/ 0 y <br /> Owner's Name N iilr' .1 I -L{2 I Owner Phone Number 81 ,")" 73' )" 7 J l 5 �/ _ �. <br /> Owner's Address 1 T f t 7 . TSB � 3i6 Owner Phone Number _ I <br /> Fee Simple Titleholder Nark+ I t} ,, Owner Phone Number 1 <br /> Fee Simple Titleholder Address I rr NQ. <br /> JOB ADDRESS 3-10q0 �1, `\ LC, c (� ILO J ' . " I LOT 5 <br /> SUBDIVISION IM I;I `e t_ O dL PARCEL 10# .. • --L' .;1 -I' 131 T A r,� n 14 1/[7" 0 <br /> J <br /> (OBTAINED FROM PROPERTY TAX NO C <br /> WORK PROPOSED I:* - NEW CONSTR C ADD/ALT � SIGN n n DEMOLISH <br /> INSTALL C REPAIR <br /> PROPOSED USE l� SFR Q COMM ( J OTHER 1 ' <br /> TYPE OF CONSTRUCTION n BLOCK rl FRAME <br /> � � 1 STEEL [ -- u <br /> DESCRIPTION OF woRK 1 + ij d t ri p L m f) .1 rt. Phr e ]ne y -L <br /> BUILDING SIZE �� �. -34 1 1 SO FOOTAGE 1 L f(` 1 HEIGHT <br /> JsIikDING $A14 c)i) r op VALUATION OF TOTAL CONSTRUCTION 45` /LI OD VL) <br /> fl ECTRICAL 1$ I AMP SERVICE 1::=1 PROGRESS ENERGY [D W.R.E.C. <br /> --r k� ll1MBING I$ j <br /> I 1.P���HANICAL I$ l I VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS Q ROOFING fl SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA =YES NO <br /> BUILDER �' <br /> COMPANY ) iiw <br /> SIGNATURE L-.- RECwsTERED if FEE CuRREn AD N <br /> Addams EDall►`f . d // �L�. •� License '1b U 1 <br /> ELECTRICIAN 1 � 1 y/ ] }�'�y, / /�' REGISTERED COMPANY 1 l UJ,I ��{ N I <br /> SIGNATURE / U � Q (/ FEE CU tle k / N (� /� <br /> Address gam% / = 7/— License I Y <br /> n j i bon s�' / /D <br /> PLUMBER SIGNATURE ��JS _ REGISTER I �, N� FEE j UL N <br /> Add btu__ I <br /> �j �/ ► REGISTERED Ll / <br /> ress rl/ DIMIMMIlio ��111I7+>1Ik: /�.I'.T Z �' al Licensa# ( I i <br /> MECHANICAL COMPANY 1 �a 1 J Pr,��. I <br /> _� /��/,/� /f']'']j/� N FEECURREI, e N <br /> Address E�ir�rllt!!/l±/a`'�ES! ►(/�///�� License # Wean Mill <br /> OTHER COMPANY I I <br /> SIGNATURE � Y 1 N <br /> REGISTERED f FEE CURREN 1 Y / N ' <br /> Address I <br /> 1 License # <br /> III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new constriction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 Ampster, 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 meal 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. (NC upgrades over $7500) <br /> " Agent (for the contractor) or Pow 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 if shingles Sewers Service Upgrades NC Fences (PtotSurvey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />