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'-'11.] VI "-"'t-' II 1 II 1111"'" I "'11111\ I 't-',..,IIVULI'-'It BUilding Department Owner's Name Date Received L/V Fee Simple Titleholder Address ) y 111 j&Jur.... LOT # JOB ADDRESS 3~3'\.)'7 WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK I B D D PARCEL 10#/ II -::l" - ,~I ~ Ci <710 6/50 (J C // (; (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE rn--DEMOLlSH SUBDIVISION B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I ~ 14 ~ l2Jlk3~ I 111...1,11111,.11....,.1.1.."..111.1,..,..1..,.........,11,11111..,.1,.,.....1..................,..1,.11...""11'11111'11"'11111'111'11"1'1111 o BUILDING 1$ o ELECTRICAL 1$ o PLUMBING 1$ o MECHANICAL 1$ o GAS D FINISHED FLOOR ELEVATIONS I ADD/AL T REPAIR COMM FRAME D D D OTHER I STEEL D OTHER I I I I BUILDING SIZE eJo.,.UJ,..J SQ FOOTAGE I HEIGHT I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING D I SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT License # Y I N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y I N FEE CURRENT License # Y/N Address ELECTRICIAN I SIGNATURE , Address I PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N I COMPANY REGISTERED Y/N RESIDENTIAL I I " II . , I . III , II . " " I I . III . , II , II . " . " I . I . " I " II I . II . " I . III . III . III " I . I . " I .. II .. " 1111 . III " 1111 . " . III . IIIII1 . II . II . II . " . II . " I . 1111 . " III COMMERCIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. SIGN PERMIT 1111. IIIII J J II J II ~ I ~ IIIIIII1 IIIII ~ . II . II. . I. I . I . ~ . II . II". . I J I . J II J I. III . I . . I . II . . II. III . III. II ~ I II . II . IIIII L . IIII i . ~ II J . . I .1 ~ J II . II ~ I j . i I j I j Iii. I i j Directions: FiJI out application completely. Owner & Contraclor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner aUlhorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage)