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oi�-iov-wcv v�ty vi �cNiiyiinn.� i vii�n►r��,f.nw.w�� <br /> Building Department <br /> Date ReCelved r ' M���,C A <br /> Phone¢ontact tor Pe IWn <br /> Owners Name O r'h �, Ownar Phone Numbar �6 c3 - °188- z.$'27 <br /> Owners Address ����� f�U�. Owner Phone Number —� <br /> Fee 8lmple Titleholder Nams Owner Phone Numbsr <br /> Fee Simple Tkleholder Address <br /> JOB ADDRES8 �� I �S (7��i f� � Li `/�S �L �3 5�/;L LOT# S�� <br /> SUBDN.ISION S,t�IS¢,T EST�►Tes PARCEL IDN f iL'�.�o"�-�31�,+ -f Qf�C� ��3 S�Q <br /> (OBTAINED FROM PROPERTY TJtX NOTIGE) <br /> WORK.PROPO$ED NEW CONS7R ADD/AL7 [� SIGN [� Q DEMOLISIi <br /> INSTALL 8 REPAiR • <br /> PROP06ED USE [� SFR [� COMM � OTHER <br /> TYPE OF CON87RUC770N Q BI.00K Q FRAME [�� STEEL [� (—'—' <br /> DESCRIPTION OF WORK 1N 5?/Irt1 / I � Qy- f�}��[� r�c:k�r �w�.� ' �o� �i�!. - �.J�; �A�'�"� <br /> BUILDINO 81ZE SQ FOOTACiE�� HEI(3HT <br /> [�f/ UILDIN(3 3 �g��.�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � q►y�p SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBIN(3 $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0C3AS Q ROOFINO Q SPECIALTY C� OTHER <br /> FiNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G ��� � <br /> BUILDER � MPANY 1.�.+Q�=aC�.�. orot, Ge��G2s �n!c, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address O t�O 1� O Q�J R�A�t c+�a �i-$78' License# ��o „s Q ) <br /> ELECTRICUAN COMPANY <br /> SIGNATURE RE(31STERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 81aNA7URE REOISTERED Y/ N FEE CURRE� Y/N <br /> Addross License# � � <br /> MECHANICAL COMPANY <br /> SIONATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> OTHER COMPANY <br /> 310NATl1RE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# I <br /> RESIDENTIAL Attach(2)Plot Plana;(2)seta of Buiiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new consUuctlon, <br /> Minimum ten(10)woricing days after submittal date. Requfred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instafled, <br /> Sanitary FadUtles 8 1 dumpster;Site Wo�lc Permit for subdivisions/large projects <br /> COMMERCIAL Attach(31 complete sets of Building Pians pius a Life Safety�Page;(1)set of Energy Forms.R-O-W Pertttit for new constructlon. <br /> Minimum te�(10)worlcing days after submittal date. Requfred onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadHtles 81 dumpster.Site Wo�ic Pennit for all new projects.All commerclal requirements must meet compllance <br /> 81(iN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out appllcaUon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over�1500,a Notice oi Commencemant is roquired. (A/C upgrades ove�=7500) <br /> "' Agerrt(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIN(3 (Front of Applicatlon Only) <br /> Reroofs N shtngles Sewers SeMce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivowaya-Not over Counter it on pubiic roadways..needs ROW <br />