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<br />tn ;j--(tKHJu:.!u <br /> <br />vlLY UI L.t:t~IIYIIIIII~ r-t::'1I1U MfJl-'m.,aLlvlI <br />Building ~rtmenl <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />OWner Phon. Number I <br /> <br />Owne"e Addre.s <br /> <br />Fee Simple T1Ueholder Namel <br /> <br />Fee Simple Thleholder Address <br /> <br />JOB ADDRESS <br /> <br />LOTti <br /> <br />WORK PROPOSED <br /> <br />EJ <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />PARCELIDtlll\ -.91..>-.:).\ - 001b_ 1~6b,. C>O'io <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br />1$ \ D\.\<t <br />1$ <br />1$ <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />D <br />D <br />D <br /> <br />~ ::HANICAL ~~NG <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDING <br /> <br />I <br />I <br />I <br />I <br />D <br />f:J- 'U!J -+ <br /> <br />IIf <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E,C. <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />ONO <br /> <br />11111111.11.1111.1.11111111111111111111111111111.111111.11,.11,11.,1,.1.1.111.11,111.111111111.111111111.111IIIIIIIIIIIIIIIIIIIIIIIJIIIIIIIIIIIIII <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED L...!LlLJ FEECURREHT LYL!:U <br />Address Ucense tI <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED L...!LlLJ FEE CURRENT LYL!:U <br />Add.... license # <br />PLUMBER COMPANY r: <br />SIGNATURE REGISTERED L.XL1U FEE CURRENT LYL!:U <br />Add.... License tI <br />MECHANICAL <br />SIGNATURE L...!LlLJ FEE aJRRENT LYL!:U <br />Add.... <br />OTHER <br />SIGNATURE <br /> <br /> <br />Addre.. I <br />111111.IIIIIIIIIIIIIIJI.IIIIIII.,IIIIIIIIIIIIIIIIIIIIIIII1.111.1111I111111111111.llllllllilll.IIII.11111111111111111111111111111111111111111111111 <br />RESIDENTIAL A1tach (2) Plol Plans; (2) sets of Building Plans; (1) set of Energy FllfTI1s <br />MInimum ten (10) working days efter submittal dale, Required onslte, Cons1rudlon Plans, Sanitary Fad""es & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) se' of Energy Fonns, <br />MInimum ten (10) wortctng days after submittal date, Required onslle, Construction Plans, Sanitary Fad"".. & 1 dumpster <br />All commercfal requirements must meet compliance. <br />SIGN PERMIT Altach (2) sets of Engln_ed Plans, <br />--PROPERTY SURVEY required lor all NEW construction. <br />L'.~~ ~~J ~ 1.1_'.111111111 r I J 11111 J 1.1 J 111111111111111 I 11111 J I J I J 1111111111111111111111111 r I r r 1I1II1 J 11111111.1111 J 1I1I J 1111 J J II J 1111II111 II J I J II I11II111 <br />