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o�r►ou-vu�� vny �i �.cNi iyi�nn� � ������.,,rr��.,W.�.,�� <br /> Building Department <br /> .4 <br /> Date Raceived , Phone Contact for Permittin �S l�3 Z�g - `►R 6� <br /> Owne�'s Name �i�F1�rt.►c, 2 A"�O Owner Phone Number gi 3 ��7 8'7. -�`1�l 3 <br /> Owners Address ��7 S�3 �-fl K/L�.1-- H AMM O��C Owner Phone Number <br /> Fee Slmple Titleholdsr Name � Owner Phons Numbsr <br /> Fee Simple Tftleholder Address <br /> JOB A�IDRESS 7`��S � GL �H/►'�M O • �C f�Q LOT# ��� <br /> SUB4IVISIDN ��k- 2'^� PARCEL iD# 3�'`�`J-21'�1 O D - O(�Oc�E� - C� 2 �+ C� <br /> (OBTAINED FROM PROPERTY TAX NOTI6E� <br /> WORK>PROAO$ED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> B INSTALL e F7EPAIR <br /> PROROSED UsE Q SFR Q COMM Q OTHER <br /> TYPE OF CON8TRUCTaON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK .=�tS7A-I/ 'Z.`I 0� �-� � � -f^e-�JC W rl" / - t/ � t.�l�/k 3�?"e. <br /> BUILDINO 81ZE SQ FOOTA(3E� HEI�3HT <br /> OBUILDINC3 S � �gQ, U� VALUATION OF TOTAL CONSTRUCTION <br /> 7 <br /> C]ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLLlMBINO $ <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> Q(3AS Q ROOFIN(3 Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> G ��a 1'�.r'Z'' <br /> BUILDER ` MPANY C ow-CS NoMt, Ce���2s �n!C- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o C3a�c $ �3 ��'A���' �i-S78' Llcense# �('oG I 50 ��17 <br /> ELECTRICUIN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � � <br /> PLUMBER COMPANY <br /> 810NA?URE REOISTERED Y/ N FEE CURRE� Y/N <br /> Addross License# <br /> MECHANICAL COMPANY <br /> SIONATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Addreas License# � � <br /> OTH�R COMPANY <br /> SICiNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seta of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Fadfltles&1 dumpster;Slte Woric Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)completd seis of 6uilding Plans plus a Life Safety Page;(1)set of Ene►gy Forms.R-O-W Permit for nsw construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrueL'��+Pla�s,9!ormwater Pla�s w/Silt Fence installed, <br /> Sanitary Fadlitles�1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compllance <br /> SIf3N PERMIT Attach(2)sets of Engineered Plans. <br /> """•PROPERTY SURVEY requlred for ali NEW canstrucdon. <br /> Directlons: <br /> Fill out appBcaUon completely. <br /> Owner&Contractor sign back of appiication,notarizad <br /> H over t2500,a Notice ot Commencement is roqulred. (AJC upgrades over:7500) <br /> "• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TIN(i (Front of Applicatlon Only) <br /> Reroofs N shingles Sewers SeMce Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />