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'"" ""�" wet� v� LvNt��ct�ntv � wr�uas �psr.nww�.v.. - <br /> Bullding Deparlment <br /> i'►'1 'C� <br /> uate rtece ved �,, . . � � '3 2l�� - "�l <br /> ,• . � ., Phane.Contact f.or Pemilttin <br /> Clwner's N me �.� �P�:C>_ G �A`/.� � Owner Phane Number �t'3 ° �'7 7 - g G�:s$ <br /> Owner's dress ` (�t� i,il ; d�, , Owner Phane Number � � <br /> <<,� <br /> � <br /> Fee Simpt Tittehoide�Ptame � � Owner Phone Number �� � <br /> ; <br /> Fee Simpl Tttieholder d�ddreas � � � <br /> , ; <br /> aos ac�n �ss � �� L��,�eLr,J���,l G/�z, Z���vh;11 s Fc. '�3 s y 2 �.oT# ��„� <br /> �. .. � , � : <br /> susonr�s QN ��r� d� �.�p��.���`�15� PARCEL tD# 4'3 `Z6-�..9 -Q i�� -- e�o�c�o - c'�4�� <br /> WORK.P �P4SED NEw coNS'�R ADD/AlT C� SIG�J NED FROdM PROPERTY TQ ne�)�EMOUSH <br /> eINSTAtk ; B REPAIR <br /> PROPOS D.U3E Q. SFR � CJ COMM [� OTHER <br /> TYPE OF ONS'TRUCTtON Q BLOCK ; Q �FRAME � STEE�. Q <br /> � <br /> DESCRIP aON OF WOE2K -1-P�1�1�!3 J l �,f�'t t�� �a` j-�r� � �s Ne� �rYlti, la- `� ° �- S`� �t��� <br /> 8ilI�DIN SIZE � � SQ FOOTA{iEi�`��� HEtGH't �,� <br /> 0 ���aE�� �"' � VALUATEON OF TOTAL CONSTRUCTION <br /> ��3 a�a a� � <br /> � <br /> � LEC1'R1CAl. � � AMP SERVlCE � �J PROGRESS ENERGY [� W.R.E.C. <br /> , <br /> � LUMBiNO � � <br /> .�-. 153�v <br /> [� ECHANlCAl. $ � ! VALUATlON.OF MECHANlCAL INSTAlWT10N ( <br /> � AS C] ROOFINQ+ Q SPECIALTY�'�� OTHER <br /> FINISHED FLOOR ELEVATIONS �----i� -FLOOD ZQNE AREA [�YES NO <br /> ,, � ��a � <br /> � <br /> BUIlDEFi � COMPAT+IY .L.br,�-eS 1-�or��, GB��'�2s� �aJc: <br /> SIGNATU E REGISTERED �Y/ N FEE'CURRE� Y/N <br /> Addr ss G �t�k � �� l�.�A�.f r.,{c+ �i-$'78" License# ��a� j .5 t�.�'3�� <br /> �LECTRI IAF! GOMPANY <br /> $IGNATU E REGISTERED Y/ N FEE CURRE� Y/N . <br /> Add ss �ficense# �' � <br /> Pl,UMBE COMPANY <br /> SIGNATU E � � i RE018TERED Y/ N FEE CURRE� Y/N <br /> � <br /> Add ss� � , �icenss# �^ � <br /> , <br /> MEGHAN A!. ; COMPANY <br /> SIGNATU E� I REGI8TERED Y f N FEE CURRE� Y J N <br /> Add " �lGeASe# 1 . � 1 <br /> C}THER ' COMPANY <br /> SIGNATU E � f REGiSTERED ' Y/ N FEE CURRE� Y/N <br /> Add ss Ltcense# � � <br /> RESIDEN iAi. Attach{2)Plot Pi.ans;(2}sets df BUflding'Plan§;{1)set of Energy Forms;R-O-W Permit ior new canstrucUon, <br /> Minimum:terr(10�wrorking days after submittal date: Raquired,anslte,Cans#ructian Flans,Stpct»weter Plans wl S3l#Fence InstaAed, <br /> . _ Sanitary;Fadlitles&1 dumpster;Slte Wark Permlt for�subdivlsiqnsflarge proJects <br /> " COMME IAi:�—Aftai;ii{;���ta.�,=se!s=�€-Ecst!-�jn�-E"�n�_plus_a�Life Safety Page;(1)set of Energy Fortns.R-Q W Permlt for naw consWctton. <br /> Minimum ten(10)work(ng days after submittal da#e. Requi�ed orisitc�;Con�tritu#it�n r�0a�is;�Stpmswater-;?lans-�:vl�Si{t Fence-ins#ai{ed>�,. . <br /> Sanitary Faoilities&1 dumpster.Site Work Pertnit for all new prajects.All commercial requirements must meet compliance <br /> StGN PE MIT Attach{2}aets-af Englneered P:tan�. <br /> •••"pROPER'TY 9URVEY required�for all NEW consUuatlon.' <br /> DirBGtlOri : <br /> FIII o t applfcation completely. ' <br /> Own &Cantractor sfgn back of appNcation,nota�ized <br /> if ov r�250a,a Notice af Commencement is required. {A1C upgrades over�7500} <br /> "` Age t{for the contractor)ar Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TH. COUNTER PERMi1TiNG (Front,of Apptteatlon Only) ; <br /> Reroofs If shingles Sewers Serv(ce Upgrad;es A/C Fences(PIot�Survey/Footage) <br /> D�Iv ways-Not over Counter if on pubito road`ways..neads.ROW <br />