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<br />U I...r, uv-vv..c..v <br /> <br />'-'ILY UI LoOPIl] 111111<> , 01l1l1L "PPIIVULlVII <br />Building Department <br /> <br />Date Received <br /> <br /> <br />lo <br /> <br /> <br />srI' <br /> <br />Owner's Name <br /> <br />Owner Phone Number &J 3' 72" - 12 ~ <br /> <br />JOB ADDRESS <br /> <br />( o(iz,DY) <br />Owner's Address 1-;&/15 Gree..n S \Dpe." Dn /.L <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address I ~ / ~I..{q G/J J A /'e <br />131 (p L/q Gill Ave, <br /> <br />I GrOinol HoyfLO() <br /> <br />I <br />I <br />I <br />~ LOT# ~qL~,q~1 <br />PARCEL ID#13~-ZS'2) rOJ70 "00000" zq I () I <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />D SIGN 0 MOVE 0 <br /> <br />D <br />D <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Numb~r I <br /> <br />I <br /> <br />D NEW CONSTR D ADD/All <br />[\Z] INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM <br />TYPE OF CONSTRUCTION D BLOCK D FRAME <br /> <br />DESCRIPTION O'WORK ~ot'>tt- S, ef-'^--D <br /> <br />BUILDING SIZE I B J X& 2 I SQFOOTAGE 12 /()<!g HEIGHT I <br /> <br />111.....1111111.1....11.1....1.11......................1....111...1....1,..11.1,............111.1............1,1...11..........,...1....,....1.,11 <br /> <br />SUBDIVISION <br /> <br />DEMOliSH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />ImOl:?J \l.hOIke. <br />o OTHER I <br /> <br />I <br />I <br />I <br /> <br />0 BUILDING I~~oo. 00 I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ 4600.00 I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ zt;D 0 D I <br />D MECHANICAL 1$ 16DD . 00 1 VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1...1111.11..1.1..11.1...111111.,.,..1111111....11,.1,.......................'11.11,..1'111.11.1111111...........,11111........111.....,.1..11'111 <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />~~;::~~:N~~ <br /> <br />Address ~ <br /> <br /> <br />:~~::~':.E ~ <br /> <br />Address <br /> <br /> <br />~I~~~';':,I;:L~ <br /> <br /> <br />Address ~. <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />11111'11"'11111""11'111111111111111111111111"1111111111.'."111'111'11'1111111"1"1"11"1111"'111"111111111'.1.""1111'111111111"'111111 <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) 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 />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 />Attach (2) sets of Engineered Plans. <br />-"'PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />II & . I IIII j i III111I11III J J I IIIII J J 1 I IIIII ~ I . 1111. . . 11111". . I I I . III , I , ~ . . . I . IIII L . . III1III1IIIII111 i III . I I III i ~ I ~ ~ I i Ii 1111111. I. I . IIIII j . ~ i i IIII i ~ I ~ 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. (A1C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />