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- --_-- ) . . <br /> Buildl g Department <br /> PY�G v �' ra <br /> Date Recelved � phone.Contact f.or Permlttin i 3 Z - l�l C�� <br /> . <br /> Owner's Name �A�t �-� i �� Owner Phone Numba �`f 3 ��7 i��z-��G <br /> Owner's Address ��C'7 ����•�1�4`/ G�2 Owner Phone Numbe <br /> Fee Simple Titleholder Name Owner Phone Numbe <br /> Fee 3lmple Titleholder Address <br /> JOBADDRESS �001 ��5�'-WRY �Q Z�6'I `Ih+IJS FL. �3 S 2 LOT# �� <br /> SUBDNISION �`�P��2 I`����- PA`RC L ID# �3 ��-2�- 6 P C) •- (y0 C`adC°1 -C�S�fO <br /> (OBTAINED FROM PR PERTY TAX NOTIGE) <br /> WORK PROPOSED NEW CONSTR ADD/A T � SIGN Q Q DEMOLISH <br /> B IN8TALL 8 R�PAIf� _ <br /> PROPOSED.USE Q. SFR Q C�MM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAM � STEEL [� <br /> DESCRIPTlON OF WORK ��'v S'�Ta4l� ��Plzo�c Ztf a �''f` �c l'}�"�� `J i+Vy r-e.s.)t� ' �- �A*e$ ^ <br />'I BUILDIN(i SIZE SQ FOOTA(iE HEIGHT <br /> I Q�BUILDINO $ VALUATIO, OF TOTAL CONSTRUCTION <br /> '� ��a � o� <br /> QELECTRICAL $ AMP S�RV CE Q PROG ESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> [�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � i�� <br /> QGAS Q ROOFING Q SPECII TY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> G C��a �l= <br /> I <br /> BUILDER ��,��a`�1�'1 � COMPANY L ow•eS,�1oMe, GeN��2s ' nl c. <br /> S(GNATURE ° R GISTERED Y/ N FE CURRE� Y/N <br /> Address � Qp1� � � ��J 2�A���' 3�"�7� Licens # ��oG .S� � � <br /> ELECTRICIAN ' C�MPANY <br /> SIGNATURE R�GISTERED Y/ N FE CURRE� Y/N <br /> Address Licens # <br /> PLUMBER COMPANY <br /> SIGNATURE � R�GISTERED Y/ N FE CURRE� Y/N <br /> Address Licens # <br /> MECHANICAL i C MPANY <br /> SIGNATURE R GISTERED Y/ N FE CUFtRE� Y/N <br /> � 1 <br /> Address 1 Licens # <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREp Y/ N FE CURRE� Y/N <br /> Address I Ltcens # <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R=0-W Permit for ew consVucUon, <br /> Mlnimutn ten(10).working days after submittal date. Required onsite,Constructlon.Plans, tormwater Plans w/Sflt Fence installed, <br /> Sanitary�FacillUes&1 dumpster;Site Work Permltjfor'subdivislonsllarge.proJects <br /> COMMERCIAL Attach(3)complete sets of Butlding Ptans plus a Life�afety Page;(1)set of Energy Forms.R-O-W Permit for new canstruction. <br />----�"` � Minimum ten-(10)-wvrking_days�fter_s.ubmlttal date. Required onsite,Constructlon Plans, tonnwater Plans w/Sllt Fence Installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit;for�all new projecQs.All commsrcial requi ements mustmeeLcompliance � _ �_ _ <br />, SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW cons ction. <br />�' Directtons: <br /> FIII out application completely. <br /> Owner&Contractor s(gn back of application,notarized <br /> If over 52500,a Notice of Commencement fs requlred. (AIC up rades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would�be someone with notar(zed letter fro owner_authorizing same <br /> . - � � <br /> OVER THE COUNTER PERMITTING (Fronf of i4pplicaUon Only) � • ' <br /> Reroofs if shingles Sewers ' Service Upgrades A%C � �, Fenc s(PIoVSurvey/Footage) , , � , - ° <br /> . _. . , , ., <br /> Driveways-Not.over Counter if on public roadways..needs�RO1N �.. �._ � _��, , � _. , � _ , <br />