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01,,)-( OU-VVLV It.J1Ll VI ""'''''t'''JI I 1111- . _........ ...-......--..--- Building Department Date R~ceived I I I J L LOT# IZ.61-S1? I PARCEL ID#13l/ -25 -2} J()}7C> . 00060... 25 7CJ I (OBTAINED FROM PROPERTY TAX NOTICE) o SIGN D MOVE 0 D o (I or ''"Z-DV1 Owner's Address 17 (oh' 5 Gr e&1 51 G.De D V' Fee Simple Titleholder NamJ 01 Owner's Name Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION WORK PROPOSED D NEW CONSTR E3 ~ INSTALL PROPOSED USE D SFR CJ TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK l)'Ylo '0 i \ e...' Y10\'Y\ e.. ~ -t-lAf> ' BUILDING SIZE 16 I 'j. l.i?8 I SQ FOOTAGE 11. It) 2 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 1~5))OO.oe> 1$ LODO. 40 1$ 260. 06 1$ 16 CD. 00 D ADD/ALT REPAIR COMM FRAME DEMOLIsH OTHER ImC>bH!...h~rY1~ STEEL D OTHER I I I I HEIGHT I o o o o o BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE D PROGRESS ENERGY o W.R.E.C. PLUMBiNG MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY D FLOOD ZONE AREA OTHER Address ~~;;:~~:N!.~ .~ Address , PLUMBER I~,~ ", _ SIGNATURE, ~~ D FINISHED FLOOR ELEVATIONS I I ~~~~~;~~ " " " " ".. " " " " " "" ". ". "" " " "" " " " " " " " ";;~~~" 'I" q ~tii'~ i~~~J~ ; ~ " ".,,, , .. . " "I License # I I I DYES DNO COMPANY REGISTERED ~Y~N FEE CURRENT Y/N COMPANY REGISTERED License # COMPANY rt (y ~N REGISTERED FEE CURRENT Y/N License # COMPANY REGISTERED Y/N FEE CURRENT Y/N License # .-/ Address :,~~~I;:L~~I Address _ _ . O~~ I ,I SIGNATURE , , Address I 1'11""""'111111111'11111'1111'11'1'1111111111111111111111111111111111111111"'1'1'111111111111'1"'1111111111111111111111111111111"11'1111111 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 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. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT I I I J I I I I I I II I II I II I & ~ ~ I. j I . . ~ & . ~ i . . I II I I I I I I I & ~ ~ ~ I ~ . . ~ . . . . . ~ . . d I H . . II II 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 II II i I I I I I i I j II IIII H I i II I I I ~ i & I ~ & i ~ ~ I ~ & H ~ i Directions: Fill out application completely. Owner & Contracto~ sign back of application. notarized If over $2500, a Notice of Commencement Is required, (A1C 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 (Plot/Survey/Footage)