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a i3-rov-�vcu Vlty vi LcN�iyi i�ni� � ci i���►r-�rp.nvu��v�� <br /> Building Department <br /> � /►'�a���c.l� <br /> Date Fteceived Phone Contact for Permittin �t 3 2(0`j _ q9(��"j� <br /> Owner's Name � 'ul s+dt�.S (�u '�C Owner Phone Number b�� -Sp�j 5- � �� <br /> Owners Address 3�� 5 f� "�'" �v-�t� Owner Phone Number � <br /> Fae Simple Tftlaholder Nsme Ownsr Phone Number <br /> Fee Simple Tkleholder Address <br /> JOB qpDRE33 �� �J �`�� �} .�Q� (L �;(�S f-L 33 Syz LOt# � C� <br /> 8UB4NISI�N ZP.{� �j�5 ��.i�hrt5 PARCEL ID# )'2.-`2.�o- 2)-oo�o -p�,,�� _ 3�o <br /> (OBTAINED fROM PROPERTY TItX N0T1GE) <br /> WORICFRaN.OSfD NEW CONS7R ADDlALT � SIGN Q [� DEMOLISW <br /> INSTALL e REPAIR <br /> PROROSED USE Q SFR � COMM � OTHER <br /> TYPE OF CON8TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �e AC�"c.. � i ti1 � r„�, �"� S S'� �1.� <br /> BUILDIN(3 81ZE � —� SQ FOOTA(iE�� HEI�3HT <br /> LDING S ����e VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBINC3 $ —` � t(,�Z i U <br /> OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G C-#-�.a 1�-� <br /> _ -� �';� u <br /> BUILDER COMPANY LOw-6S NoM�, ceN`r�2� �nl t- <br /> SIGNATURE ' � !� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o �o� � �i"� �PA�cd� ��-�7�' ucense# G�oG I SO ��-! 7 <br /> ELECTRICUIN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> PLUMBER COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# � —� <br /> MECHANICAL COMPANY <br /> 31(iNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> OTHER � COMPANY <br /> SIONATURE REGISTEREp Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E�ergy Fonna;R-O-W Pennit for new constructlon, <br /> Minl:�num ten(10)working days after submittal date. Requfred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence inst811ed, <br /> Sanitary Fadiitl�s&1 ciumpster•;Siie Wcrk Pertriit f�,r s�bdlvlsio�is/ia�ge p�Jocts <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary FadliGes 8 1 dumpster.S(te Work Permft for ali new proJects.All commercial requirements must meet compiiance <br /> 81(iN PERMIT Attach(2)sets of Engineered Plans. <br /> """"PROPERTY SURVEY requlred for all NEW construcdon. <br /> DirecNons: <br /> Fill out applicadon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over:2S00,a Notice of Commencement fs required. (A/C upgrades over 57500) <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 PERMITTIN(i (Front of AppHcaUon Only) <br /> Reroofs if shingles Sewers Servfce Upgrades A/C Fences(PlobSurvey/Footage) <br /> DHveways-Not over Counter if on public roadways..needs ROW <br />