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aio-rov-vvcv v�ty �i c.cNiipiinna i a��ii�ar-�NNnw.�..�� <br /> Building Department <br /> /�'f GN�G H <br /> Date Rocalved �'�,j' ��J Phone Cot�tacti.or PertniWn �3 2(�R " �`� �°s <br /> Owner's Name �-ARft � t � ' Owner Phone Number ��g-�5S' � � �'�O <br /> Owners Address N Owner Phone Number <br /> Fee 8imple Tkleholdsr Nams Ownar Phons Numbsr �- <br /> Fee Slmple Tftleholde�Address <br /> JOB AQDRE3S �l "� oz L���- �� 2eP/+.cv�►;�l s �c 3�S Y 2.. LOT# �1 <br /> SUBD ,N.ISION S S rc+1e►J �$`� PARCEL ID�! C�`3-�iL�- - �OOC� - � " � 1 � <br /> S�`�2 0�ks (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> WORlC:PRt�O$fD B NEW CONSTR 8 ADD/ALT Q SIGN [� C] DEMOUSH <br /> INSTALL f7EPAIR <br /> PROROS�ED.USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTaON Q BLOCK Q FRAME L� STEEL Q <br /> DESCRIPTION OF WORK �A �I W i:d G�.J �zv S S�'Lt S��2e <br /> T'�i Z.S i r <br /> BUILDIN(i 81ZE S61 FOOTA�iE�� HEI�3HT FL �,J'�7 ;� <br /> . BUILDING S L �-°���u <br /> .�� • b VALUATION OF TOTAL CONSTRUCTION �"'°' <br /> [�]ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBINO S � I���1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> O(;qg Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �. A-�e.t� �'l' <br /> BUILDER COM�NY L o�S Norot Gea��2s , �!L <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �Olt O ��J ��A�te,�v ��-�7g' License# ��o�. � .sO O�� � <br /> ELECTRICWN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I � <br /> PLUMBER COMPANY <br /> 310NA7URE REf31STERED Y/ N FEE CURRE� Y/N <br /> Addross License# I <br /> MECHANICAL COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � <br /> OTHER COMPANY <br /> SIONA7URE RE(iISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESID�NTIAL Attach(2)Plot Plans;(2)seta of Building Plans;(1)aet of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working dayx after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Fadlltles 81 dumpsiar;8ite Work Pe�r�.:t�or aubdivlsicrosllarge�roJocts <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcKfon. <br /> Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes�1 dumpster.Site Work Permit for all new proJects.All commerdai requirements must meet compliance <br /> 31(3N PERMIT Attach(2)sets of Engineered Plans. <br /> "•""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Ftll out appifcadon completely. <br /> Owner&Contractor stgn back of applicatlon,notarized <br /> H ovsr�500,a Notics o1 Commencement Is roquired. (A/C upgrades over s7500) <br /> '• Agerrt(for the contractor)or Power of Attomey(for the ov►mer)would be someone with notarfzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTINl3 (Front of Applicadon Only) <br /> Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(Plot/Survey/Footage) <br /> D�Iveways-Not over Counter if on public roadways..needs ROW <br />