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,.,., .,,..,...._.. <br /> v�.� ..� �..p..�....�... . ......... .��.._�_._.. <br /> Building Department <br /> MG'n1 ��C,1� <br /> Date Received � ^� Phone 6antact for Permittin �S L 3 "Z�9 _ <br /> Owner's Name �f30� R R Z. Owner Phone Numbsr 3SZ-Z�fc- ooc� 5� <br /> Owner"s Addresa Owner Phone Number � <br /> �ee Simple Titlaholdsr Name � Ownar Phons Number <br /> Fee Simple Titleholder Addreas <br /> �oe nAOR�ss 3�O `� � �J�R In2 h i s -L 3�S iZ LOT# �� <br /> 3UBDNISION Z2�Y1 YR I G� l�l��S PARCEL ID# i�.-��-a.l - �p`3 O - �c� 1 at� -c�d 6 c� ` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK:,PROAO$ED NEW CONSTR ADD/ALT � SI(3N [� Q DEMOUSW <br /> B iNSTALL 8 REPAIR <br /> PRO�OSED,U3E Q SFR Q COMM Q OTHER <br /> TYPE OF CON87RUCTlON Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK .l�J STA! I �� r� {p� N► � E -.{a c� �,T� A �o� �,�i A II� �Tt <br /> BUIL�iN(i SIZE SQ FOOTA(3E� HEI(3HT <br /> T BUILDING � ���� Q VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR�CAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R,E.C. <br /> QPLUMBING $ <br /> �1�8 � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G A�a ,�� <br /> BUILDER � / COMPANY (.�w�S NoM�, CeNT�crts� �i.!t. <br /> SIONATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address � l�o�. ° $ q� .��A�td� �L4��8' ucense# G�oG fSO ��f-1� <br /> ELECTRICIi1N COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> PLUMBER COMPANY <br /> 81ONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY • <br /> 31�3NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIONATl1RE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Addrosa L(cense# �- � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new consUuctlon, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w!Sllt Fence I�sblled, <br /> Sanitary Fa�iilUes a 9 dumpst�r;S(te Work P�m►it for sulxlivlsicnsJlarge pro)ects <br /> COMMERCIAL Attach(3)complete sets of Bufiding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit fcr new constructlon. <br /> Minimum ten(10)workfng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenee installed; <br /> Sanitary Fadlities 8 1 dumpster.Site Wor1c Permit for all new proJects.All commercial requirements must meet compliance <br /> 31(iN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out appNcation completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> H over;2600,a Notice of Commencement is requlred. (A/C upgradea over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with noterized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIN(i (Front of Application Only) <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />