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813 -780 -0020 (ity oT Lepnyrnln5 ref I I Ill rypil c uuI 1 4* i r <br /> ( <br /> Building Department �p <br /> • <br /> Date Received <br /> Phone Contact for Permitting bl3 MI -- Firlai <br /> ^ L O d!OA/. Owner Phone Number <br /> Owner's Name Q/ <br /> 39 <br /> s Q r, Owner Phone Number <br /> Owner's Address ir4; <br /> " Y 9 (' y , e /•C�cA Owner Phone Number <br /> Fee Simple Titleholder Name k <br /> te s t s / -Wy3 <br /> Fee Simple Titleholder Address /� chi // `. - / / t/ <br /> 3 'Se /7'. cam' /7 y l0/W dr* LOT ! ]' <br /> JOB ADDRESS �j � /` O <br /> ! / t �o�y PARCEL ID# a'r 44 ' 0WO AV al d� <br /> SUBDIVISION "7 'r (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR <br /> I ADD /ALT 1 I SIGN 1 1 MOVE = DEMOLISH <br /> INSTALL REPAIR <br /> SFR I COMM r& OTHER « i / <br /> PROPOSED USE I I BLOCK 1 I FRAME ED STEEL 1 1 OTHER <br /> TYPE OF CONSTRUCTION I <br /> DESCRIPTION OF WORK I e (Ala or t °` `f <br /> BUILDING SIZE I <br /> 13 X yv I SQ FOOTAGE I S6 I HEIGHT I I <br /> — P BUILDING I$ ,, j 7 G I VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE I I PROGRESS ENERGY I I W.R.E.0 <br /> ELECTRICAL I$ .. PERMIT p <br /> 8 ; `S,783-5311 . <br /> PLUMBING I$ <br /> 1 MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA 1 'YES 1 INO <br /> ' I 7 $ .1) COMPANY 1 d (f) . h ,1,14441( •.,,C . <br /> SIGNATURE BUILDER ��� � � /. � I REGISTERED L Y / N 1 FEE CURRENT 1 Y / N I <br /> Address <br /> /SY / t:"4- // - la ' 0 4 Ft I License # <br /> � I <br /> ELECTRICIAN COMPANY 1 <br /> I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> License # 1 <br /> Address I <br /> PLUMBER COMPANY 1 <br /> SIGNATURE <br /> REGISTERED I Y / N I FEE CURRENT I Y / N <br /> 1 1 License # <br /> Address I <br /> MECHANICAL I COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N <br /> 1 License # <br /> Address I <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT 1 Y/ N I <br /> Address I I License # <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 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 w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />