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o I..r I UV-VVLV \..IllY UI L.CiJIIYI I 11I1" r CIII In /""\iJiJ"IJOLIVII Building Department Owner's Name Pate Received JOB ADDRESS Fee Simple Titleholder Address 1 I 37{P()5 Cd) Ave ICy-orxi {10V} Z()v] ,,\ 8 PROPOSED USE D TYPE OF CONSTRUCTION D mo.b) t BUILDING SIZE I '3 1 J.. 4 ~ I I I I . . . I I I I I I . . . . . . . . . . I I I . . I . . I I . . I I . . . . . . . . I I I . . . . . . . I ~ I . . I I . . I I I . . . I I , . I . I . . . . I . I . I I I I I I I . I I I . I . . I . I . . . . I I I . . . . . . I . . I I - . I . I I . . I . I I I . I I . I I I I . I . I I D BUILDING 1$35)DCf),OC) D ELECTRICAL 1$ /()(i),00 D PLUMBING 1$ D MECHANICAL 1$ I()(X) 0'" D GAS D FINISHED FLOOR ELEVATIONS I NEW CONSTR INSTALL SFR BLOCK I B D D Omc- sef-u SQ FOOTAGE LI g.g Lof 2851 LOT# 12gs" PARCELID#13'/' 2-52J~ o/70-c:x:x.xx:J -ZgS 0 (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN 0 MOVE D D D SUBDIVISION WORK PROPOSED ADD/AL T REPAIR COMM FRAME DEMOLIsH OTHER ImDbl) e .l06W1 e.. STEEL [2J OTHER .1 1 I. DESCRIPTION OF WORK HEIGHT I ROOFING I I I I D I ------ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W,R.E,C, VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO ~~~i~i~;s' '~"'.. ".... """ ;~;;.. '~it~:~~~f'~~'~ ~.. ..",,,,,,,, " ~~;I~O;;;Nr~Y"-=--:>- =:~': ~~N "'cu""", IIYi,N Address ~ License # I ~~:~~~E !~~~ ~:'o'::,~~ 1(~~tter1i'~itt(~~N Address . License # . ::'~~~:C!~J~ COMPANY I~~N REGISTERED FEE CURRENT I(lYN License # Address ' OTHER I I COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address I License # 1111111111111111"1""'111","111'1'-"1111111111111111111111111111.11111.....1111111111111111111111111111111",'1111111111111"11"""11"'1111 RESIDENTIAL COMMERCIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslte, 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 onslte, 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 I I II I I I I I I I I I I I I I I & ~ I . I . . & ~ ~ . I ~ J J I I I I I I I II I & I . I I I I II i II 'I I I I I I I I I II I I I . I . I . & J ~ . I ~ . I I , I II . i I1111 . Ii. . i . I II i III1I1 I i I i I I III I III i I I I I I I I i Iii i I III i II i i Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. lAIC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Driveways Fences (PloUSurvey/Footage)