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..... ...._.. v��� v� �vN������nw � ..n����.. .r.r.�..........�� - <br /> � Building Department <br /> ;` <br /> �. : � � � <br /> Date Rece yeil —�-� ; � phone:�ontact f.or.P..emilttin . �t3 2E,� — �i`rb�. " <br /> Owner's N`me , SQA I'� Owner Phone Number �'�3` Z g 3 ° 2�6 S <br /> , ', . <br /> Owner's dress . � i Owner,Phone Number <br /> i <br /> Fee Simpl Titleholder�Iame Owner Phone Number <br /> Fee Simpl Tftleholder Addresa `. ' <br /> , � . <br /> JOBADD ESS "��, a 8 ��e�Ka,�► �v-e- �e.Pd��yh'�/S FL 3 3 sy/ LOT�! � p <br /> � <br /> . , f <br /> 3UBDNISON � 2A�t� f-�G�P�ZvoJS PARCELID#' ���2S-2t - pogb -Co�oO _dlao <br /> (OBTAINEb FROM`PROFERTY TAX NOTIGE) <br /> i WORK:P �P.O.SED NEW CONSTR.B ADD/ALT C� SIGN Q Q DEMOLISH <br /> B INSTALI: � REPAIR � <br /> I PROPOS, D.USE [�, SFR , Q C.OMM � . OTHER � ' � <br /> TYPE OF ONSTRUCTION : Q BLOCK � Q ;FRAME L� STEEL Q <br /> i <br /> DESCRIP ION OF WORK l A � l.�9 i�c�o c,.J i 11 S i�. Si�Q �L I 1>s 2 F� r► a 6 r <br /> , � <br /> I BUILDIN SIZE 8Q FOOTA(3Ei�� . NEIaHT <br /> , , <br /> UILDING $ ' i <br /> f.� I 3 �a, VALUATION OF TOTAL CONSTRUCTION <br /> �S <br /> I <br /> 1 <br /> Q LECTRICAL $ ' AMP SERVICE ' Q PROGRESS ENERGY . Q W.R.E.C. <br /> ; <br /> � <br /> [�] LUMBING $ . I <br /> � <br /> . <br /> . � <br /> � ECHANICAL $ : i VALUATION.OF N,ECHANICAL.INSTALLATI.ON <br /> Q AS [� ROOFING! Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ' �; �� , ��a ��' <br /> � � <br /> r <br /> BUILDER � � �p� �l�COMPANY L..br.,��S Cl�M�, L"P,N�'e2s� � aJC.. <br /> SIGNATU E � REGISTERED Y/ N FEE CURFtE� Y/N <br />� Addr ss O �O1L � ��Ji 2�A��C' ��'��� License# �`oG .S(<'�. 1 <br /> , , <br /> E4ECTRI IAN COMPANY <br /> SIGNATU E RECaISTERED Y/ N FEE 6URRE1. Y/.N . <br /> Addr ss License# <br /> PLUMBE ! COMPANY : <br /> SIGNATU E i i_ REGISTERED Y L N FEE CURRE� Y/N <br /> , <br /> Addr ss! � Ucense# � <br /> MECHAN AL COMPANY <br /> SIGNATU E i �REGISTERED Y/ N FEE CURRE� Y/N <br /> Add s� License# � <br /> � <br /> OTHER � � COMPANY <br /> 31GNATU E � � I REGISTEREp Y/ N FEE CURRE� Y/N <br /> � , <br /> Add ss i ; Lfcense# <br /> � , <br /> RESIDEN IAI. Attach(2)Plot Plans;(2)sets of B�lllding'Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcUon, <br /> MUimum-ten(10)working days after submittal date. Required.onslte,Construction:Pians,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary.��Facilifies',�1 dumpster,Site Work.Pertnit for subdivlslonsAarge proJects <br />� COMME IAL Attach(3)compiete sets of 3uiiding Plans plus�a`Life Safety Page;(1)set of Energy Forins.R-O-W�Permit for new construction. <br /> Minimum ten(10)vrorking days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans wl Slit Fence installed; <br /> Sanitary Facilities 81 dumpster.Site Work Permit for.all new proJects.All commerclal reGuirements must meet compllance <br /> SIGN PE MIT Attach(2)sets of Engineered Plan . <br /> *•""PROPERTY SURVEY requlred�for all NEW construcUon.' � <br /> Direction : <br /> FIII o t appUcation completely. � <br /> Ovm r&Contractor sign back of application,natarized <br /> �. If ov r b?500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> Age t(for the contractor)or Power of Attomey(for the owner)would be someone with notadzed letter from owner authorizing same <br /> OVER TH COUNTER PERMITTING (Front,of Application Only) � <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driv ways-Not over Counter if on public roadways,.needs;ROW <br />