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QI..J-'tOV-VULU '-Jll.l VI ...."'1""11]111...- 1 _II...... &1"".....--...--. Building Department Owner's Name Owner's Address I D1B-:5 \ Fee Simple Titleholder NamJ Date Received Fee Simple Titleholder Address I I Lc-\- I PROPOSED USE TYPE OF CONSTRUCTION I c=J ADD/ALT D D REPAIR D COMM D D FRAME D DESCRIPTION OF WORK I 5eJ- . o...tJ fY1l:Sb I ~l--\G1'Y).~ BUILDING SIZE I d <6 X L\CZs I SQFOOTAGE U 8LDGJ I I . . . I I I 1 I . I I I I I I I I 1 . . I . I . . I . . . . . I . I I I I I . I I I . I I I . I . . . . I I ~ . . I I I . . I . . . . . 1 I I I . . . I I . . I . . I . . . I . . I I . 1 I I I I . . . . . . . . I . . I . . . . I I . . I . . I I I . I I . I . . I I . . I . . . I I . I . . I 9,.~'~ G(~ lA-' LOT # JOB ADDRESS SUBDIVISION PARCEL 10#1 ~ V" - WORK PROPOSED @ D D NEW CONSTR INSTALL SFR BLOCK (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D DEMOLIsH OTHER I STEEL 0 OTHER I HEIGHT o BUILDING 1$ 30 I 00 0 o ELECTRICAL 1$ 1 DOO6U D PLUMBING 1$ 5DotJO D MECHANICAL 1$ 1,0000.0 D GAS D ROOFING FINISHED FLOOR ELEVATIONS I I I AMP SERVICE 2m D I J)ff pu<-1J r{E ftfNL- JJr 0 tAp11- -- ___ I VALUATION OF MECHANICAL INSTALU>.TI~ ~ D SPECIALTY D OTHER ? I FLOOD ZONE AREA DYES DNO <. PROGRESS ENERGY D W.R.E.C. VALUATION OF TOTAL CONSTRUCTION '"..1111,.,....,,11.......111..11..111111.."11"1'..1.........""1"".".1"".11..........1...1111.1..1.,....11.1...111111.......1......11111.....1,1., OTHER SIGNATURE COMPANY REGISTERED ~~!R~-!t'L I YIN I I License # W- ~btx:i)<ZD I I I Ll:?~ lt4~!d I Y IN I I J t-4C(JtXJ08()I I I I I A C:..~ Y / N I FEE CURRENT Y/N BUILDER SIGNATURE: LU D./AJ ~ -"- COMPANY REGISTERED Address ELECTRICIAN SIGNATURE LU. :2 <J--:l~ ~A./'-./~~~ COMPANY REGISTERED Address License # MECHANICAL SIGNATURE u0 p~-I I COMPANY REGISTERED PLUMBER SIGNATURE LA) r~' ...-....-.... . '__.. . --1...... .. . . , " . -".~ COMPANY REGISTERED License # Ac€- Y / N I FEE CURRENT Address Y/N Address License # I Y/N FEE CURRENT Y/N Address License # II , , , , I I I 111111 111111 I , , 1 I . 111111111111111111111111111 " , II ,. 11111111 ~ II " , I It n . " " 111111111 " , II , . " 11 r r , 1111111111111111111111111111111111111 RESIDENTIAL 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 COMMERCIAL 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. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for ali NEW construction. I I I I I I I I I I I II II I II I I I I I J I I I ~ I I I I III I II II III I III I I II I I II '. I I I I I I II III II I I . . . ~ I I. ~ ~ I . I I I I II I i I II I I I i I I I I I I I I' i II I I I i I i I I 1111I1 II I I I ~ I II i I ~ i i I I II i I Iii Directions: Fill out application completely. Owner & Contractor 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 authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Driveways Fences (PloUSurvey/Footage)