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<br />Building Department
<br />
<br />Date Received
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<br />
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<br />Owner's Name Y ~ z..
<br />Owner's Address 1'7 to LJ S- Gv Il. eYl
<br />Fee Simple Titleholder NamJ
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<br />5 ICJpe~
<br />
<br />Dr,
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<br />vI!.", LOT# I Z30 I
<br />PARCELlD#I'3Y - 2S.'Z-t '0170 - 00000- Z30D I
<br />(OBTAINED FROM PROPERTY TAX NOnCE)
<br />D SIGN 0 MOVE 0
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<br />SUBDIVISION
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />WORK PROPOSED
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<br />ADD/AL T
<br />REPAIR
<br />COMM
<br />FRAME
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<br />DEMOLIsH
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<br />o NEW CONSTR D
<br />[ZI INSTALL D
<br />PROPOSED USE EJ SFR D
<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />DESCRIPTION OF WORK I mob) \ f., be, ~ 5J- -t -~ .
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<br />BUilDING SIZE I'}... -; f.~5~ SQFOOTAGE f! Ji{/ J'IotJ HEIGHT I . I
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<br />. , , , , . , , , , . . . , , . , , , , . . , . , . . . , , . , , , . , :-:, . . . . : , , , , , . . , . . , ~ . , . . , , , . , . , , . , , . , , , , , , , , , , , . , , , , , , , . , , , , , . . . . . . . . . , , . , . . , , . . . . . . . , , , . , . . , . . , , , . . , , , , , . , . , .
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<br />D BUILDING 1$ 15f)CY:). eel
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<br />D ELECTRICAL 1$ 5001 0 0 I
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<br />D PLUMBING 1$ (;60. Cl l" I
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<br />D MECHANICAL 1$ J 600" 00 I
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<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
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<br />OTHER 1V\'l6h,"' {.~lJ j')\..e..,..
<br />STEEL 0 OTHER I
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<br />I
<br />I
<br />I
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY
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<br />o
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<br />W.RE.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
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<br />'."'11.........1..1....1.......1.11....................1.1.............1.'1111111111.1111..1111.111....1.1.....1'..,..........11,.....1.....1.11.
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<br />~~~~:~~ I BIt; ft~ ~~! rlREt: H f Y / N
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<br />
<br />License # I
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<br />COMPANY r2l (yP N
<br />REGISTERED L ry-
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<br />
<br />FEE CURRENT
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<br />Y/N
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<br />LIcense # I
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<br />I ~{11t1 ~~{~E~/~
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<br />
<br />License # I
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<br />PLUMBER
<br />SIGNATURE
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<br />Y/N
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<br />Address
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<br />1111"'111111111111111"1'1'11111111111111111111111"1....111111111'11'1'1111111111111"1111111111111111111'"1111111111'1"'1111111111111111111"
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans. Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />.".PROPERTY SURVEY required for all NEW construction.
<br />I 1.1 I I I ! I I I I I I I I I I I I II I I I I I I I & 1 l J & ~ I I ~ ~ I III ~ J ~ I . I . I . II . 1 .~ . . ~ ~ ~ ~ J 11I1I111III111 I I I II I II ~ J II i I 1I1I I i I I i I I I I I I i III II i & i I I II I I I I I i III ~ I ~ ~ i & ~ i i I I I I i II i i
<br />Directions:
<br />Fill out application completely.
<br />Owner & Contractor sign back of application. notarized
<br />If over $2500, a Notice of Commencement Is required. (A1C upgrades over $5000)
<br />
<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage)
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