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a�s-�ov-wcv v��y vi �aNi�y�i nn,� � a�����..-.rr��..u.�..�� <br /> Building Department <br /> m�NS �� <br /> Dats Received Phone�antact f.or Per�nittin �6 +3 �Z b�' - Gi �t�.5^ <br /> Owne�'s Name Pb L ir` Owner Phone Number �13 - 395- (�,�.9$ <br /> Owner's Addresa T 9d 3 I►?eR��"�r4 N�V��I,� C.t 2, Owner Phone Number � <br /> Fee Simple Titlsholdsr Nams Ownsr Phone Number � � <br /> Fee Simpls Tkleholder Address <br /> JOB AG1DR�33 '7 ,� 7" , J!� G, Z -�,"ll S �> 3�'�y LOT� a� <br /> SUBDN..ISIDN G(�4.5'Y�JIGW l,}:i�S PARCEL ID# 3S`25' �-�- !"�-� �C:Ot� ' ��6fJ <br /> (OBTAINED PROM PROPERTY TAX NO'Ft4�E) <br /> WORK_P�A.08fD B NEW CONSTR� ADD/ALT � SIGN [� CJ DEMOUSW <br /> INSTALL F7EPAIR <br /> PROR08ED.USE Q SFR Q COMM � OTHER <br /> TYPE OF CON87RUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTIONOFWORK � �RL LtN�"1� S"2 �'Z�. t7ati,,�Iz U a���' <br /> F �4o''f <br /> BUILDIN(i 81ZE SG FOOTAGE� HEI(iHT <br /> QBUILDINC3 S ; VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLWMBINC3 a 3 3� <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATI�N I� <br /> �(3AS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE EA QYES NO <br /> G C-�-�2 a 1`- T� <br /> BUILDER �OMPANY L ow-eS No�C, Cea�'�2� ��J c. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o l�o� ° $ a3 ��'A�da ��-�78' Lfcense# ���G ( 508�-1 7 <br /> ELECTRICWN COMPANY <br /> 31(iNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 810NA?URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIONA7l1RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# � � <br /> RESID�NYIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consUuctlon, <br /> Minimum ten(10)w�orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlttles&1 dumpster;Site Woric Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)wo�lcing days after submittal date. Required onsite,Conshuctlon Plans,Stonnwater Plans w/Sift Fence installed, <br /> Sanitary Fadlides 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 81(iN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlons: <br /> Fill out appflcatlon completely. <br /> Owner&Contractor sign back of appl(catlon,notarized <br /> If over s2500,a Notice of Commencement is required. (A!C upgrades over=TS00) <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 PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivevrays-Not over Counter if on public roadways..needs ROW <br />