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"'- '�` �°'" ���y �� ��pnyrnms rermtt Hppncat�on Fax-813J80-0021 <br /> Building Department <br /> Date Received j� _ � . � 3 <br /> Phone Contact for Permittln <br /> Owner•s Name G 4 f o S�c 727 Z <br /> Owner Phone Number p.�� 1800 <br /> Owner's Address /,$�1 el �%' G ,[i1 • lOw�L �'.i� .jQW�•. y� <br /> Owner Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOBADDRESS ,sS/27 /lj T�` s� 2* � ����� F'!4 33�yZ � <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> B (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lJVORK PROPOSED NEW CONS7R ADD/ALT � SIGN <br /> INSTALL 8 REPAIR � O DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK ��C✓`OO� (,�/i t1�-� 2,s t4.— s�j;h �,�5 <br /> BUILDING SIZE SQ FOOTAGE� <br /> HEIGHT �� <br /> OBUILDING $ <br /> ,j(�QQ, �� VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL �� AMP SERVICE O PROGRESS ENERGY [� W.R.E.C. <br /> OPLUMBING a <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � 2 CJ <br /> FINISHED FLO\ELEVATIONS FLOOD ZONE AREA � � <br /> QYES NO <br /> BUILDER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address license# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# �— —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> license# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER �jMt�1 trS �y�i• I�t L COMPANY �PO trlt�'S �pe�J�►' r 1i1, L <br /> 31GNATURE REGISTERED , Y/ N FEE CURRE� Y/N <br /> Address �ZS—SD�et�i,r�r�V,'Yw License# �C� 132G919 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary FaGlities�1 dumpster;Site Work Permit for subdivisionsAarge 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 construction. <br /> Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construcUon. <br /> Directions. <br /> Fiil out application completely. <br /> Owner 8 Contractor sign back of appliqUon,notarized <br /> If over:2500,a Notice of Commencement is requlred. (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 /> ONER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />