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813.76U-UUCU Lolly VI LpIIyi11111J 1 illni. nNNnvu 17 <br /> Building Department / (� <br /> Phone Contact for Permitting 8 /___ ? b I - 3 c.3 ate Received / r� / // l 9'7 — / 0 0 <br /> sm/a# / t4 cniel 6rnel LUFZ' Owner Phone Number L � 1 <br /> nrner's Name RAVENORa9. ! <br /> Nner's Address j 375.5 V. . DAL1B --rEri-fL' Owner Phone Number <br /> le Simple Titleholder Namer <br /> 1 Owner Phone Number 1 <br /> • <br /> ;e Simple Titleholder Address I ik ti\ <br /> 3 755# vn/A _ 7t/L� 2EP1/yieis'/c�t/ t � G 335 - LOT # HT d q <br /> )B ADDRESS �J / Q <br /> /44N,C) 411 6 <br /> PARCEL 3— .260""2- 0.23 00000-2 I <br /> UBDIVISION <br /> 1 ,,/% (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IORK PROPOSED <br /> r. I NE W CONSTR ADD /ALT 1 I SIGN 1 I MOVE 1 1 DEMOLISH INSTALL REPAIR <br /> IIMI ROPOSED USE 71 SFR I COMM 1 I OTHER [ <br /> YPE OF CONSTRUCTION BLOCK I ( FRAME [ I STEEL 1 OTHER ( ,/ <br /> ESCRIPTION OF WORK kEPAI/t' / Reno DF L .J //(// —LC F4M /� � F,S / �'� c � - Try <br /> UILDING SIZE 1 1 SQ FOOTAGE I / 7/ 1 HEIGHT 1 a .. 1 <br /> B $ 5 i/ 65-0 1 VALUATION OF TOTAL CONSTRUCTION <br /> • ELECTRICAL I$ 3 V <br /> AMP SERVICE tg PROGRESS ENERGY 1 W.R.E•C <br /> • PLUMBING $ y3 ` 1 <br /> 5 j <br /> • MECHANICAL $ 1/.2 — I VALUATION OF MECHANICAL INSTALLATION <br /> • GAS n ROOFING [ 1 SPECIALTY I 1 OTHER <br /> 'INISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES 1 INO <br /> A <br /> ■ 3UILDER / _ \`� COMPANY l N/�A� /7/0/4•14-5 <br /> _� /� % 3IGNATURE REGISTERED [ Y / N 1 FEE CURRENT 1 Y / N <br /> Address 0 1.441fl"AVF,At.±'Z /o G wfrf7L,Fc739O License# I COG/ a 551.51 <br /> Y , & COMPANY 1 tUNo,u 5 o Ai E G EC 7 .Z// C C. <br /> 31GNATURE <br /> ELECTRICIAN ,..°°......4., IN REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address i ..Sf4 /f /t..L74A /'1i4■ rL 33 6/3,) License# L C 00 0.25. 79 <br /> PLUMBER )v r <br /> COMPANY $A YO/I/ET Pt Lin tS/N&„h - emit , 9 '4 C <br /> SIGNATURE � (� REGISTERED Y / N FEE CURRENT Y /.N <br /> Address 1 a 0 80,X .533" SA WA/Er'zb /NrIR 3 5447y License # C Pc _ 9 8 <br /> MECHANICAL , <br /> *) COMPANY 8qY On/ET �c vM0 /.(/�,► KE�7i'V � G <br /> i � <br /> SIGNATURE , REGISTERED I Y / N I FEE CURRENT [ Y / N 1 <br /> Address . �� BOX 530g $# ONFT7 /N/ r G -.' ?V1 License # CAC J,S3 ' 0 2 <br /> OTHER <br /> /(//14 COMPANY C3 L. /A16- 0q‘/Ty /QOGIF- 7u6,.Zvt.. <br /> SIGNATURE REGISTERED ( Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address ¥2 /I.. 5 4104 L /uE St_vo c s P 2 o V G / 4 / u , cis WO License # CC" CO 3 7 99 <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 onslte, 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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster, Slte 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. (A/C 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 />