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..�.� v� �.,r��y���„�� i vi��nar�Nr���.ativii <br /> i O/��V 1 J'/VV'VVG I <br /> Builiiing Department <br /> �1�1 C?N/L/� <br /> Date Reaeived �� J`-( �/ phone Contact for Permittin �13 Z�cI – CI���5 <br /> � <br /> Owne�'s Name –� RC�C �euJ Owner Phone Number ��3 � �f- �{- �2-�'� <br /> Own�r's Address �Z-� �0(,�2� S / � Owner Phone Number � <br /> Fee:3lmple Titleholder Name� � Owner Phone Number � <br /> Fee:3imple Titleholder Addres:s � <br /> JOBADDRESS ���_ �pLr/�7 S% Z-ePhnyti�/lS �L ?j 3.S �� � LOT# �� <br /> _� <br /> SUBDIVISION C Y 4� PARCEL ID# I.�j' �ZC� �/- 0200 -bbGoo ' O D�b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ['�� NEW CONSTR e ADD/ALT Q SIGN Q MOVE �� DEMOLISH <br /> [ INSTALL REPAIR <br /> PROF�OSED USE �^� SFR Q (:OMM Q OTHER �— <br /> TYPE OF CONSTRUCTION [� BLOCK � F�RAME Q STEEL Q OTHER C � <br /> DESCRIPTIONOFWORK Ci�IACP_ % ✓,JD[+!Z(.r li� � 4v (n,iNCrO�(�nlrfs` S���siZ� ' <br /> BUILUING SIZE �_� SQ FOOTAGE C_ HEIGHT � <br /> � <br /> 0 BUILDING $ VALU,4TION OF TOTAL CONSTRUCTION <br /> ���� � <br /> � ELEC7RlCAL $ AMP;iERVICE � PROGRESS ENERGY a W.R.E.C, <br /> �-- <br /> � PLUMBING � � <br /> 0 MECHANICAL r$ VALUi�TION OF MECHANICAL INSTALLATION ��" � �� <br /> L_ <br /> 0 GAS [_� ROOFINO O S�ECIAL7Y � OTHER <br /> FINISNED FLOOR ELEVATIONS � FI.00D ZONE AREA QYES QNO <br /> BUILDER �� � � �> <br /> SIGNATURE ��j��,,!I��,� 1 C MPANY {-�;� � � � <br /> ` REGISTERED N FEE CURRENT Y/N <br /> a�a�es$ 1� (�cau _7�Sr ��l'� [�2��1 �Z�7S , <br /> --- C�� �L� License# C����{-�� <br /> ELECT�ICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Addresa �_ � Ucense# � <br /> I'LUMEIER COMPANY <br /> SIGNA�URE —_ REGISTERED Y/ N FEE CURRENT—� Y/N <br /> Address �_ � License# � <br /> MECHANICAL <br /> :;IGNATURE COMPANY <br /> -- REGISTERED Y/ N FEE CURRENT—L Y/N <br /> Address � � <br /> == License# <br /> UTHER <br /> SIGNATURE COMPANY <br /> ` REGISTERED Y/ FEE CURRENT Y/N <br /> Address � � <br /> -+tti-fHt � l.icense# <br /> RESIDENTIAL Attach(2)�lot�lans;(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. Requlred onsite,Construcdon Plans, Stormwater Plans w/;iiit Fence tnstalled, <br /> Sanitary FacilirJes 8�1 dumpster;Site Work Permit for subdlvfsions/large projects <br /> COMMERCIAL Attach(3)seks of Butldinq Plans;(1)set of Energy Forms.R-O-W Permit�or new construction. <br /> Mlnimum ten(10)working days after s�brn�ttal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facflities 8 1 dumpster. Site Work Permit for all new pro)ects.All commerclal requirements must meet cc�mpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPER'f`f SURVEY required for all NEW constructfon, <br /> Directions: _ <br /> Fill out application completely. <br /> Owner 8 Contractor stgn back of appltcatlon,notarized <br /> If over;2500,a Notice of Commencement Is requlred. (A/C upgrades over b5000) <br /> " Agent(for the contractor)or Pawer of Aktorney(for the owner)would be someone with notarized letter from owner authorizing sam� <br /> OVER THE COUNTER PERMITTING (Front of Appllcation Only) <br /> Reroofs Sewers ;�ervice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> D�Iv�ways-Not over Counter if on public roadways..needs ROW <br />