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tll,J' f8U-UU;'W \JILY VI '- .1. _. ....... ...-.- bL ~llIg Department Date Rec'!.lved Owner's Name Owner's Address Fee Simple Titleholder NamJ D o Fee Simple Titleholder Address I IS"'Z"( 6e{frcuYl Or. lilfhyr HeJ'jhf--S I D NEW CONSTR r:=l' ADD/ALT D D INSTALL CJ REPAIR PROPOSED USE 0 SFR D COMM D OTHER TYPE OF CONSTRUCTION ~ BLOCK D FRAME D STEEL D DESCRIPTION OF WORK I/:;jd .l!l(f' jnLtJ-/U /t,dws ,rT: ~ '~r 1.- -6 BUILDING SIZE _ SQ FOOTAGE I J HEIGH~_ ~ I I . . I . I . I . . I I I I . I . . . . . I I . I . I . . . . . I . . . I . . I . . I ~ . . . I . . . . . I . ~ . . . . . . . . . . . . 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$ 'I, '3 Cftf I 1$ ,. AMP SERVICE 1$ I 1$ I D ROOFING D ~ LOT" I . PARCELID#I If). ..f}0 ~J/-OO?O~t()3()D ~Ol SO (OBTAINED FROM PROPERTY TAX NOnCE) SIGN D MOVE D JOB ADDRESS SUBDIVISION WORK PROPOSED DEMOLIsH OTHER I I I. I D D D BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL D PROGRESS ENERGY D W.R.E.C. PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO ~\~i) [p' FINISHED FLOOR ELEVATIONS BUILDER SIGNATURE 1 /.tJk (lei- 02 ,::> JI5<Cf pyrc/lYJld 01 r .()df'.~. FI I COMPANY .. . REGISTERED COMPANY REGISTERED IJt~7t/7~EC~e:~fftuF0~1Jfl c License # lege - os f-a7 Address ELECTRICIAN SIGNATURE Y/N I FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT License # Y/ N FEE CURRENT License # Y/N Address PLUMBER SIGNATURE. COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address I OTHER SIGNATURE COMPANY REGISTERED Y/N Address I11I111 , 1II1 , " "'11111" 111II , II , I , , , , II , 1111 " "' . , I , , , " I , I " I , I , I \ " II " " III , II , I , 1111 , I " I " " II , III , , II11 " , I1I11111 , I ' , II " 1111I " 11111 , I 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 requlremEmts must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. . 1111111111111111111111111111111111111111111111111' 1'111.11111.1111,.1111111111111111111111 i i 111111111.111 i I i 111111, i 1111 i 1111 i III i I i I i Iii i i II i i II i 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 AlC Driveways Fences (PloUSurvey/Footage)