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<br />o I v- t UV-UULU
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<br />Building Department
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<br />Phone Contact for Permitting
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<br />Owner Phone Number g; 3 - 7
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<br />Owner phone Number I
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<br />Owner phone Numb~r I
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<br />Owner'sAddress 1'7CoLfS Cy~e.e/JSI()re- Dy,
<br />Fee Simple Titleholder NamJ
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<br />Date Received
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<br />Owner's Name
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I 3 j rnZgCov63 Lt?iUI-s
<br />IGn::1Y1d 1-toy12--oY/
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<br />EV NEW CONSTR CJ
<br />INSTALL D
<br />PROPOSED USE D SFR 0
<br />TYPE OF CONSTRUCTION D BLOCK 0
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<br />DESCRIPTIONOFWORK I vncbJ/e hOVfl& '::::,ef ~Up .
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<br />BUILDING SIZE I '5/ j L} g I SQ FOOTAGE I )12 J I HEIGHT I . . I
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<br />, . .. . , , . , , , , . .. . , , . , , , , . ; , . , , , , . .. . . , . , , , , . .. , , , , , , , , , , ~ ' , .. . .. . .. . .. . . .. .. , , , , , , , , , .. .. , , , , .. , , , .. .. .. . .. , , , , , .. .. .. . , , , , , , , , . .. .. , , , . . . , , , . .. . , ,
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<br />D BUILDING 1$ 35"C(X). 1> U VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL 1$ (;{){). (I ) AMP SERVICE t=J PROGRESS ENERGY
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<br />D PLUMBING 1$ 500. (', .)
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<br />D MECHANICAL 1$ 1000,0<:>
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<br />D GAS D ROOFING
<br />FINISHED FLOOR ELEVATIONS I
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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 />Av-e.- I LOT# 122-3
<br />PARCELID#I"lf ~ 25-2)~6/ j()- ooocn- 2230
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D SIGN D MOVE 0
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<br />0/
<br />D
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<br />DEMOLIsH
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<br />SUBDIVISION
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<br />OTHER ~ I J .e, hornJl..-/
<br />STEEL OTHER I
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<br />: '
<br />1
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<br />D
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />D
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />Address
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<br />~I~~~~:'-~~~
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<br />Address _ .
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<br />OTHER I
<br />SIGNATURE
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<br />Address I
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<br />Address
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<br />~~'i:'~~N!~~~
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<br />Address. .
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<br />:~~::~~E F ~> I
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<br />F/~
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<br />COMPANY
<br />REGISTERED
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<br />BUILDER
<br />SIGNATURE
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<br />License #
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<br />COMPANY
<br />REGISTERED
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<br />11&fN
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<br />FEE CURRENT
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<br />I (VN
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<br />COMPANY
<br />REGISTERED
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<br />Lic~se # I
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<br />I Pr1rt!{h'tffLRE~JI1~/N
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<br />
<br />License # I
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<br />COMPANY
<br />REGISTERED
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<br />11&~N
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<br />FEE CURRENT
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<br />IO/N
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<br />License #
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<br />I
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />FEE CURRENT
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<br />Y/N
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<br />License #
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<br />1111111111111111111111111""'111111111111"'11111'.11111111'1111111'11'1111111111111111111111111111'11111111111111111111111111111111111111'1"1111
<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 onsite, 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 ali NEW construction.
<br />IIIIII I1IIIIIIII ~ ~ ~ ~ J . II IIII I11I ~ . ~ II1111IIII J II ~ III ~ . I .~ . . . II ~ IIII ~ I. ~ ~ . . . . 11111111111. I I ~ 1 i IIII i II i 111I1I i 1IIII i I i IIIIII i II i III i II i j I' ~ i i I1I1 i II 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. (AlC upgrades over $5000)
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<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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