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a i�-�ov-vvcv v��y vi LcNi�y�i mio i vi�n��r�'.�+��vu.�v�� <br /> ,�'��_�� Building Department <br /> � � � �� <br /> Date Recetved � -� - 13 Phono aMact f�pr Pe_ Ittin � � � - <br /> Owners Name FI M Owner Phone Number g r 3 -7 8'�-�'I 3 7 <br /> Owner'sAddress ��O / /)')A No�2 �� OwnerPhoneNumber � <br /> Fee 8lmple 77tleholder Name � � Owner Phone Numbsr � � <br /> Fee Simple Tkleholder Addross <br /> JOB ApDRE33 ��C.� M t� � �t, Gr ��p�R �+;�/S j=� 3 3 S�/z LOt# � `� <br /> 3UBDNISION Ze r'nY�'- l�It-�s I�TS rlp� PARCEL ID�t 1�- �-6- 2�- �'p�� -O d n c•c� °C'►I `�l C <br /> (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> WORIC PR4F�0$ED e NEW CONSTR 8 ADD/ALT Q SI(3N Q [� DEMOLISW <br /> INSTALL REPAIR <br /> PROR08ED USE Q SFR � COMM Q OTHER <br /> TYPE OF CON87RUC710N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 7��%ACe � (.J r n!c1�0...� Cr�/�/'S S�Le.!Si2 Z �[ l/ � <br /> BUILOIN�i 81ZE 8Q FOOTA(iE� HEI(iHT �_� <br /> BUILDIN(3 S �- � �� VALUATION OF TOTAL CONSTRUCTION <br /> [�]ELECTRICAL $ , AMP SERVICE Q PROCiRESS ENERGY Q W.R.E.C. <br /> QPLUMBINC3 $ � ��-'�., "�������'[�� <br /> � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALD�TION / ��� �/��" <br /> � l 3c�/ <br /> 0C3AS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> G C��a 1�.�'l� <br /> BUILDER COMPANY l..ow�S �lom�, GeN"'�G2� ��l� <br /> SIGNATURE � ' •-'�'e' REOISTERED Y/ N FEE CuRRE� Y/N <br /> naare� o C�o� B 43 a�'A�+`�d�' �LS��' License# �Gf�G l SOS�l7 <br /> ELECTRICWN � COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � <br /> PLUMBER � COMPANY <br /> 810NATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Addrosa Ucense# � <br /> MECHANICAL COMPANY <br /> SI�iNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> OTHER COMPANY <br /> SKiNATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)aet of Energy Fortns;R-O-W Pertnit f�or new constructlon, <br /> Minimum ten(10)wo�icing days after submfttal date. Requfred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installeti, <br /> Sanksry�FShcitles d�1 dumpster,31te Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sst�ef Bullding Plans plua a Lffe Safety?aga;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary FadllNes 8 1 dumpster.Site Work Permit for all new pro)ects.All commercial requirements must meet compliance <br /> SICiN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'•PROPER'fY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of appl(catlon,notarized <br /> H over:2600,a Notice of Commencement is roquired. (A/C upgrades over iT500) <br /> "• Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TIN0 (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> D�Iveways-Not over Counter if on public roadways..needs ROW <br />