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o Iv-rov-VV.LV '-'1"1 VI "'-"'t-"I}I'UII_' _II..... -1""""0'-_---" Building Department Owner's Name Date ~ecelved Owner's Address Fee Simple Titleholder NamJ JOB ADDRESS Fee Simple Titleholder Address I l3J S;J-, G ~ )\ I (::)\D-nd 1-\ ' NEW CONSTR INSTALL SFR BLOCK ~u 't:. I B D D f)lbb~ le- , 2l /)Cj 9.'lq ~t~~ LOT # SUBDIVISION PARCEL ID# I ADD/AL T REPAIR COMM FRAME (OaT AINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 DEMOLISH WORK PROPOSED ~ PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK f:::>e}- ~. BUILDING SIZE I d~ '/.... 4 8 I sa FOOTAGE 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 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 1$ 3D, 000 0() I 1$ I Goo tJO I 1$ 600 l>D I LJooo~O I D ROOFING D I D D D hks-rn .~ I OTHER I STEEL 0 OTHER I I I I HEIGHT o o o o o FINISHED FLOOR ELEVATIONS I BUILDING VALUATION OF TOTAL CONSTRUCTION MECHANICAL AMP SERVICE ZCV D vP-1~ffi v~ VALUATION OF ~ECHANICAL INSTALLATION ~ PROGRESS ENERGY D W.R.E.C. ELECTRICAL PLUMBING ~~ - - GAS SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO 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 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 Address ELECTRICIAN ! I , '\ CJ-'\ -"" """------. SIGNATURE. . V'--" ~_:~ Address :~~':,'i,~E I ~ JC>-y--'- 16~ Address I =,~~~~~I;:LiL^J~ 6~! Address , ~~H::TURE: I Address I I j}Jr~~ (~"~-- - I COMPANY REGISTERED ~feJ'kJ Y/ N CURRENT I BUILDER SIGNATURE Y/N fl~ COMPANY REGISTERED License # ~~6' Y / N I I'EE CURRENT I Y/N COMPANY REGISTERED License # ~N~~~R~Jd License # I f\Le I Y / N I FEE CURRENT COMPANY REGISTERED Y/N Y/N I License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # 1111'1"1111'11111111"'111111""1111111111111111111111"11111111"1111111111111'1111'111111111""'11111111111111"'11111111111111111111""1111 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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance, SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. III ~ III11IIIII ~ I ~ I ~ . II I ~ IIIIII1IIIII1111111111111111 i II-II. I I ~ ~ III1IIIIIIII111111 ~ I I IIIIII i II. I. I & III1IIIII i III1I i I ~ III1IIII i I I j III ~ I i I & i II i II i . Iii Directions: Fill Qut 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 GOUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage)