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o�r�ov-�v�v v�ay v� �.vp���������., � ..��.��.. .r�..__...... <br /> Building Depafinent <br /> O � �CA <br /> Date Rece�ved Phone Gontact for Permittin Cb 3 2-�� -- 9�j' �OS <br /> Owner'a Nama �G^�^�� �TAG/C 'r Owner Phone Number �C 3 --?$C) -�O'i"7 <br /> Owner's Address ���3, "Z I ST S� Z{►o�1s i-L 3 3 Sy'7i- pwner Phone Number <br /> � .� <br /> Fee 8imple Tftleholdsr Name � � Owner Phone Numbsr <br /> Fee Simple Tkleholder Address <br /> JOB ApDRE33 'Jr 1 I � �1 ST ST Ze�?h�y h�i�S i=� 3 3 5�,{� LOt# � <br /> SUBQkVISION C.� Dt- ZePl+,�- l��ll S PARCEL ID# 1�"�6-�I - ��'�'�- �� 3 b� --v�c�n' <br /> \ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORI4:PROPOSED NEW CONSTR� ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PRORO.SED.U3E SFR Q COMM Q OTHER <br /> TYPE OF CON8TRUCTION BLOCK Q FRAME Q STEEL Q <br /> DE3CRIPTIONOFWORK I��P��►�-�- , vJ►.v�ci�„1 �,�,�1�fiS � I GP� -;ti1�3S SiZ2. SiZ¢ <br /> F"L t z gtl . z + , �{ <br /> BUILDiN(i 81ZE � SQ FOOTA(iE� HEI(iHT �L i 1 1 5 2 , 3 <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � p4 e e <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �V4� <br /> QPLUMBING $ L �� <br /> � �+ � U,/ <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �1 U " . � <br /> �4� <br /> QGAS Q ROOFING Q SPECIALN Q OTHER �� C�'� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G C�-R.� �..�� <br /> BUILDER ` COMPANY L 0�-eS NoM�, CBa�'e2s �eJ�. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o �o� � R'� ��'A�d�' �z���' License# �G6G l Sd ��1 7 <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURREA Y/N <br /> Address License# � <br /> PLUNBER COMPANY <br /> 31ONATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � I <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# � <br /> OTHER � COMPANY <br /> SI�NATURE REf31STEREp Y/ N FEE CURRE� Y!N <br /> Addreas Ucense# � � <br /> REStDENT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Sift Fence installed, <br /> Sanitary FadliUes&1 dumpster;Site Wor1c Permlt for subdivisfons/iarge proJects <br /> CONMERCIAi. R�tisch�3}cAmpi�ta�eis af Building Qla�s plus 2 LIfB S�fB�y P3�8;f,1)set of Enerc�y Fortns.R-O-W Permit for new consbuctlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Sitt Fence insialled, <br /> Sanitary Facllit(es 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> 31(3N PERMIT Attach(2)seb of Engineered Plans. <br /> ""'*PROPERTY SURVEY requfred for all NEW construcGon. <br /> Directlons: <br /> Fill out app8cation completely. <br /> Owner&Contractor sign back of application,notarized <br /> ff over i2500,a Notica of Commencement is roquited. (A!C upgrades over s7500) <br /> "• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> D►Iveways-Not over Counter if on public roadways..needs ROW <br />