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o 1.,)- (OU'UULU lIllY 01 LelJllyrrllll:::i ielllllll-\lJlJlIl;i::llIUII Building Department I OA-O 10-/ Uv-vv,,- I \- \ ~ OWM", Add~.. h~"';:) \:.D\t)\)~'iL \:'.( Fee Simple Titleholder Nam Date Received Ttt1't'; Owner Phone Number ~ Owner Phone Number I Owner Phone Number L Owner's Name SUBDIVISION I I Fee Simple Titleholder Address I I ~~~~j~~~~~\~~~~~ I (OBTAINED FROM PROPERTY TAX NOTICE) o SIGN D MOVE D IP\\~ D OTHER I JOB ADDRESS PROPOSED USE TYPE OF CONSTRUCTION ~ NEW CONSTR ~ iNSTALL D SFR OCK DEMOLISH WORK PROPOSED DESCRIPTION OF WORK ~ BUILDING SIZE I I SQ FO~TAGE I \ f)"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 I I I I I I I I I I I I I I I I I I I I I ~ BUILDING ~~~\UJ~ I ~LECTRICAL . I 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS 0 ROOFING 0 FINISHED FLOOR ELEVATIONS VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o PROGRESS ENERGY ~{~~~- VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO PLUMBER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # COMPANY REGISTERED Y I N FEE CURRENT Y/N License # COMPANY REGISTERED Y I N FEE CURRENT Y/N License # 1111111'1111"'"11"11""11'111111'1'111111'1"1'11111111111111"111111111111111"""'11111""""""'1"1""flllIII1111111'1111111111111111111 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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commerclal requirements mUllt meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction, COMMERCIAL SIGN PERMIT .. II j I I , I U I I I I . . . ~ I I . 11111111111111' III U II . II. I II ~ ~ . .. I I I j . III J II II H . III & d 11111111. . 1 . I & II . I. I. I1II 1111111111 III. 1 d I . . II I. . I . . III. II II II I I I I I Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (Ale 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 (Plot/Survey/Footage)