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es�is-�esu-w�u �,i�y ui �tsNiiyiiinia rciini�nNNn�.auv�� -�- - - - --- <br /> Building Department <br /> rn e,.r�"t. <br /> Date Rsceived� --�Q� Phone entact i.or PermiWn �l 3 2(0� — �''1 q 4,75 <br /> Ovmers Name � M M r,r i Owner Phone Number �i 3 � 3 r7 S-S�9� <br /> Owners Address ��'r n�- Owner Phone Number <br /> Fse 8lmple TRleholdsr Nams � Owner Phona Number � <br /> Fee Simple Titleholder Address <br /> JOB/II�DRESS �QD�� ScuT� Ru�.. Z��P/�Ay��//S F�- 3 3-S�l 2 LOT# � <br /> SUBQ.IV,ISION �AS�/ I}C22.S" � PARCEL ID# i 3'z�"Z I• p O S"'O <br /> (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> WORI�_PF�p08ED B NEW CONSTR 8 ApDIALT � SIC3N Q Q DEMOLISW <br /> INSTALL F2EPAIR <br /> PROF�OSED.U3E Q SFR � COMM � OTHER <br /> TYPE OF CON8TRUCTION Q BLOCK Q FRAME � STEEL [� <br /> DESCRIP'fION OF WORK ��.° /�C� O t d UN�f'S S��Z.� S��2-e_ L- /�Z D 6 <br /> BUILDIN(i SIZE [� � 8Q FOOTA(iE� HEI(iHT _� <br /> QBUILDING S ��,,��j t VALUATION OF TOTAL CONSTRUCTION <br /> l 27 <br /> QELECTRICAL � AMP SERVICE Q PROt3RESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �l <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION � '�� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G ��.t� 1�. '_� <br /> L�� <br /> BUILDER �t1 ' COMPANY L S NoM�, CeN"��2s� `N C. <br /> SIGNATURE 1 REGISTERED Y/ N FEE CURREP Y/N <br /> Address O �o� � �i 3 R�'A�d� ��-���' License# �G�G f S d ��-1 7 <br /> ELECTRICWN COMPANY <br /> 81�iNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 810NA?URE RE(31STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIONATl1RE RECiISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense� � <br /> RE8IDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construcdon, <br /> Minimum ten(10�working days after submittal date. Requfred onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> SAnitary FadlfUes 81 dumpster;Site Work Permit for subdivlsiansAarge projects <br /> COMMERCIAI Attach(3}complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new oonstrucdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence f�stalled, <br /> Sanitary Fadllties 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compNance <br /> SICiN PERMIT Attach(2)seb of Engineered Plans. <br /> ►RIfPROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Ftll out application completely. <br /> Owner 8�Contractor sfgn back of applfcatlon,notarized <br /> If over=2500,a Notice of Commencement is raquired. (AIC upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMI7TINCi (Front of AppllcaUon Only) <br /> Reroofs fi shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />