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,-,u,J VI ,,"-Vt"'1 1111 IIIIV I Vi' IIU. I 'Pt-'IIV.......IV.. Building Department Date Received 6 ;:24-0" ~rr&C--f7: l let...' -1- Owner's Address 131(7.) () LJ.....7f ~ h :J J Fee Simple Titleholder NamJ (JuJ <.0...., Owner's Name L~- ... Fee Simple Titleholder Address JOB ADDRESS :? 'hJ ~7 I", Tt1 J4~"- Ch,& Ao ~ $-.+ LOT # PARCELlD#II/-~s:.-;J.1 "06/fJ G/.5'oo 0//0 (OBTAINED FROM PROPERTY TAX NOnCE) SIGN D MOVE D SUBDIVISION I B D D ADD/ALT REPAIR COMM FRAME WORK PROPOSED ~ NEW CONSTR t=1 INSTALL D SFR D BLOCK I PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK D D D DEMOLISH OTHER I STEEL D I I I OTHER I BUILDING SIZE I I SQ FOOTAGE I 2S~ 2- HEIGHT 1..2. .$~i"'7 ' 111...111.1....1.....111....11111......111111111111111........1.....1..1..1.......................1......1.11..11....111...11111...111....11.11111 ,--, BUILDING 1$ L-J l.2.c-3 D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ DGAS D FINISHED FLOOR ELEVATIONS I I I I I D I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION W,R.E.C, oeo. D D / PROGRESS ENERGY rvbC VALUATION OF MECHANICAL INSTALLATION ROOFING SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO 5<6\2 _ J>>.-rno 11....1111....1111.1..1.111......111111,1111.11111...1.....1.......111.".'..1...........11.................1..1...........1.111...111....111...11 BUILDER SIGNATURE Z.flfLL I COMPANY REGISTERED Address ::J Q ~. ELECTRICIAN I.............J I, - \1'\ ,(\ SIGNATURE. ,~ \.-\, ~ Address L(\.o.\\u", ~b"1.... "'2.-~Jlc. (1. '51~3'=\ ~~::-r~~E IQ~~J,c~~~~/____ 8. LlL\ .-~ COMPANY REGISTERED Address MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED Address (5j L~J I Y N I G-~~ -r;;;~Zf~ FEE CURRENT . N License # ,~~Si License # FEE CURRENT License # I I llYN I f'ZVV\ ~O(~~(p ~ I I 1'1,;) 0 ~ ts <:0 /l/ ~l -.( - I Y N I FEE CURRENT License # I Y/N Y/N FEE CURRENT License # I " I III II . 1111 I " " II . , III III 1111' I , 11111' . 1I111 . I . 1111 " " I" I . , I " I " II" , III " " I " 11111 " " 11111' , 11II " 11111' , ' , , 1111 " I ' II' I J 1111' , 1I1I11111 RESIDENTIAL Attach (2) Plot Plans; (2) 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 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 all NEW construction. I I . I I I I I I I I ~ I . I I II I I II I I I I I , I I I J I ~ l I I I I I I I ~ ~ . . I I I I ~ I I I I J I I I I. . . ~ III I &I I H .. II II I I I I ~ II I I I H I I I I I Ij I I . I III I i I 1& II i I i I I I I II I J I ~ I I I I I . I i I i & ~ ~ I II i I II i 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)