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..�.. ......, v�.� ..� .�..r...�........ . .�....... •rr••---•--• <br /> , `, Building Department <br /> lhO�ti A <br /> Date Rsceived Z� � � Phone Contact for Permittin �0 3 2�� - �''`3 �S <br /> �2 M A�1 t��-R 2� ^J Owner Phone Number $�13^'7 F -Z 6 2 C <br /> Owner's Nama . <br /> Owners Address 3 � m�do� Lo G A Owner Phone Number <br /> Fee 8lmple Titleholder Name Owner Phone Number <br /> Fee Simple TRleholder Addresa <br /> � X 1 1�' <br /> JOB A�1QRE33 �R S� /')'l c� •�e!� G O c !P Z t P l+�e Y I„ �I Y �=L LOt# <br /> SUBDNIBION MEAa�Du�d+c�e1 f STATts 1 PARCEL ID# l 3^2�"�l ' �i''�O •Gncx�c'� • l 1`td <br /> (OBTAINED PROM PROPERTY TAX NOTIG�E) <br /> WORK PRf,�POSED e NEW CONS7R 8 ADD/ALT �� SIGN [� [� DEMOLiSW <br /> INSTALL REPAIR <br /> PROt�OBED U3E Q <br /> SFR Q COMM �� OTHER <br /> TYPE OF CONBTRUCTION Q BLOCK Q FRAME � STEEL Q �- <br /> DESCRIPTION OF WORK ���GG � ,�/0�+2 Gr ���'S S:'zt. Si�t� �'�- `�`i a' FL ��c'/o <br /> BUIL�IN(3 SIZE � SQ FOOTA(iE C� HEI(3Ht <br /> QBUILDING $ -3���r 3 VALUATION OF TOTAL CONSTRUCTION <br /> C]ELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBINC3 ($� J/L �� � <br /> �_. �,j��' (�� <br /> [�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION t��� <br /> �]GAS [� ROOFING [� SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO G � <br /> , i2,�3 �-1� <br /> BUILDER " ` MPANY L�w-e S �loMt Gea��2� ��L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �O� � �� ��A ��`'� �L��� License# �`o .S(� I' <br /> ELECTRICWN COMPANY <br /> 81GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> 31ONA'NRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass License# � <br /> MECHANICAL COMPANY <br /> SI�3NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa License# � <br /> OTHER COMPANY <br /> SIONATURE REOISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon. <br /> titinimum t�n(10)wo�icing days after su�mittal date. ReauirQd snsite,Gonstructfo�Pl�ns,Stormwater Plans w/Silt Fence installed, <br /> Sanitary-Fadlltles 8 1 dumpster;Site Work Pertnit for subdivlsions/large pro)ects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction. <br /> Minfmum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 81 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compBance <br /> SICiN PERMIT Attach(2)sets of Engineered Plans. <br /> IfRRPROPERTY SURVEY requlred for all NEW consUucUon. <br /> Directlons: <br /> Fill out applicaUon completely. <br /> Uwner&ConUactor sign back of applfcation,notarized <br /> H over s2500,a Notice oi Commencement is required. (A1C upgrades over i7S00) <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 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 />