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�-»-���-��u l�ll�► UILC�JIIyI11111, rainn�nNNu�.auv�� • -•• --- -- -- <br /> Bu(Iding bepartment <br /> I'�'1 Erv "c� <br /> Dats Recelved '(3 Phone ontect f.o�Permittin �S 3 Z(o ' <br /> Owners Name Owner Phone Numbar `� - �g 3 <br /> Owners Address N Owner Phone Number <br /> Feo 8lmple Titleholder Nams � Ownsr Phons Number � <br /> Fee S(mple TRleholder Address <br /> JOB AQDRESS S ? � �.q�c.e.. ,¢ 2cP�a 1�:l)S l. 3 3 S" 2 LOt# g Z <br /> 3UBQIYI810N S� i��- dd0►��tS� PARCEL ID# 0'� -�:�-Ol24 °G'ObG�6� �-d' g2l7 <br /> (OBTAINED fROM PROPERTY Ti1X NOTICE) <br /> WORK�PRON.08fD NEW CONSTR ADD/ALT Q SION Q Q DEMOLISH <br /> INSTALL aEPAIR <br /> PROR08ED USE Q SFR � COMM � OTHER <br /> TYPE OF CON8TRUCTIDN Q BLOCK Q PRAME Q STEEL Q <br /> DE3CRIPTION OF WORK 3 �v 4 �J��' S���. — '2r � �e��s- <br /> �`—� Q �}=l. !LS l � <br /> BUILDIN(i SIZE � SQ FOOTAC�E HEI(3HT �t„ �' r Z p(o <br /> QBUILDIN(3 S VALUATION OF TOTAL CONSTRUCTION rG �6�� <br /> ��. `f F�- 1 ! 3 �� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLWMBING $ � /r'� <br /> .� ��r <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G C���3 �'l� <br /> SUILDER � ! � `r C�QMPANY L o��eS �or►�, Cga��2s 'nl c- <br /> SIGNATURE v � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �01� $ Q�J ��A�d�' �t"$�� License# G�oG � SO ��1 / 1 <br /> ELECTRICWN COMPANY <br /> 81(iNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> 81CiNATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> 31(3NATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> OTH�R COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Forms;R-O-W Permft for new constructlon, <br /> Mlnimvm ten(10)wo�icing days after submittal date. Required onsite,Constructlon Plans,StoRnwater Plans w/Siit Fence i�stalled, <br /> Sanitary FadNdes&1 dumpster,Slte Woric Permit for subdivislonsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Lifc:Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construcdon. <br /> Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 81(3N PERMIT Attach(2)sets of Engineered Plans. <br /> """'PROPERTY SURVEY required for all NEW constructlon. <br /> Diroctions: <br /> Ftil out appNcatlon completely. <br /> Owner 8 Contractor sign back of applicallon,notarized <br /> If over s2500,a Notice oi Commencement is requlred. (A!C upgrades over i7500) <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 PERMI?TIN(i (Front of Applicatlon Only) <br /> Reroofs H shingles Sewers SeMce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />