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'Dec. 1. 2010 1:11PM c 'tyCROSS CONSTRUCTION rdx " °" ° ""'�" <br /> G ' /, -140 No, 3114 P. 4 <br /> Dm Received QQ l ZR rr 1 Phone Contact for Pennitti • PM • " O - O �` r• << • <br /> Owner's Name ladt0. k d 4 A)'.,J 7kvSi .et Owner Phone Number ' <br /> OwAa{s Address I pia) *V- fel de," . 4 8 • 7 Owner Phone Number I <br /> Fos Simple Titleholder Name' _ • I Owner Phone Number 1 1 <br /> Fee Simple Titleholder Address <br /> • <br /> • <br /> JOB ADDRESS SO t'>`'t, 1 SSl• 1 LOT$ 1 SbE 7• • <br /> SUBDIVISION ' • L _ PA RCEL ID , ! 1 • Z(s•ZL •OOIQ •.p_2SOC' )OS ' <br /> (OBTAINED PROM PAWPAW TAX NOnCE) <br /> WORK PROPOSED • NEW CONSTR 8 AbDIALT Q SIGN Q MOVE Q DEMO 1 . <br /> INSTALL ' REPAIR <br /> • <br /> PROPOSED UsE • Q SFR • Q • comm Q OTHER 1 I <br /> TYPE OF CONSTRUCTION BLOCK 1:71 1 FRAME ' , 0 STEEL 0 OTTHHEER I • I <br /> DESCRIPTION OF WORK I }ee►io s It, }Y�. nry Ia 1G�S • A ��^�7ZD YOd.�.q �I XI ++ . <br /> BUILDING SIZE 1 1 1 1 d 1 SO FOOTAGE 1,4 t iO 1 HEIGHT I 1 <br /> BUILDING ;�n t ! 'IN VALUATION OF TOTAL C , <br /> ELECTRICAL Is G 'l J V 1 AMP SERVICE © PROGRESS ENERGY Q W.R.E.0 <br /> " <br /> © PLUMBING Is <br /> 4.1 � <br /> • <br /> Q . MECHANICAL I 11 I VALUATION OF MECHANICAL INSTALLATION ;' '"(F t. <br /> - `. <br /> Q GAS Q ROOFING • 1= SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS ( ( FLOOD ZONE AREA YES =NO • <br /> BUILDER COMPANY 1 4 rO'd l . <br /> SIGNATURE Ractsi ,1 $? N 1 FEE CURRENT 1 1 <br /> Address I ZCZTZI t.?CS't ,1',a,. al , IJ Ili. ...J , License t 4F Cs <br /> ELECTRICIAN . • . COMPANY 1 <br /> , SIGNATURE _ '1 Y/ N 1 RECURRENT I Y/ N 1 <br /> ' Address 1 • 1 IJoense # ( <br /> PLUMBER . COMPANY 1 <br /> SIGNATURE . REGIg1FAEo 1 Y I N I FEE CURItENr . 1 Y 1 N 1 <br /> Address 1 I License # ' • <br /> MECNANICAL COMPANY I ' <br /> • <br /> SIGNATURE RectumnED 1 Y 1 N 1 FEE CIlRR NT 1 YIN 1 , <br /> Address I : I . License # 1 1 - <br /> OTHER COMPANY <br /> =NATURE REGhemEpED I' Y I N 1 FEE CURRENT 1 YIN <br /> • <br /> 1 <br /> Addreii { 1 License# 1 • <br /> • <br /> 'RESIDENTIAL . Attach (2) Plot Plana; (2) sets of auildinq Plaits; (1) sat of Energy Forma; R-O-W Permit for new construction, <br /> Minimum ten (10) wonting days after submittal data. Required ensile, Construction Plana. Storm/rater Plans w/ SG Fence Installed, <br /> Sanitary Facilities & 1 dumpstar; Site Work Permit for eubdtiidsionsdarge projects <br /> COMMERCIAL Attach (3) complete sots of Bulking Plans pets a Life Safety Page; (1) set of Energy Forms. R.O.W Permit fa new eoristrudion, <br /> Minimum ten (10) woddng days after submittal date. Required onsite, Construction Plans, 5 • . ter Plans w/ SIR Fence Installed, <br /> Sanitary Facilities & 1 dumpater. Site Walt Permit for NI new projects. A commercial requ' ants must meet compliance <br /> ' SIGN PERMIT Attach (2) sets of Engineered PIEns. <br /> ""PROPERTY SURVEY requiredfoc all NEW construction. <br /> Directions; . , • <br /> Fur out application ompletely. <br /> Owner & Contractor sign bads of application. notarized ' <br /> R over $2500, a Node of Commencement is required. (A/c upgrades over 55000) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone Will notarized letter from • er autbofzing same <br /> OVER THE COUNTER PERMTt Y1NG (Front of Application Only) <br /> Reroofe • Sewers Service Upgrades AIC Foneng (Piet/Survey/Footage) , , <br /> Drivewalya•Not ot!er;Coimter if on public roadwaya..needs ROW . <br />