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<br />Building Department
<br />
<br />Owner's Name
<br />
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<br />OW",,'. Add"" F\ \ J'-\ -:::, '--\:)(0);>\'\ ~~V
<br />
<br />Fee Simple Titleholder Nam
<br />
<br />
<br />Date Received
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number L
<br />
<br />Owner Phone Number L
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />
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<br />
<br />L.L')G .-\\ ~ "\
<br />
<br />SUBDIVISION
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />DESCRIPTION OF WORK
<br />
<br />BUILDING SIZE I
<br />TIIIIIIIIIIIIIIIIIII11111 III i 11111' 1111111..1111. I' 1111'" .111' 11111111111111' III' 1111111. I' III' III111I11II1111111111111111111111111111111111111I1
<br />
<br />~ BUILDING It), \ ~~ .(),--\ I VALUATION OF TOTAL CONSTRUCTION
<br />
<br />~ ELECTRICAL 1$ , I AMP SERVICE D PROGRESS ENERGY D WR.EC
<br />~\n_~~~
<br />
<br />1$ I
<br />1$ I
<br />
<br />D ROOFING D
<br />
<br />D
<br />
<br />PLUMBING
<br />
<br />D
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTAllATION
<br />
<br />D
<br />
<br />GAS
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />CJNO
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />
<br />Address
<br />
<br />Y IN Y I N
<br />~.~ License# ~2\~\\'t~
<br />
<br />~1'~~~"T I YIN
<br />
<br />License # I \"t \
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNA TURE
<br />
<br />Y I N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />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" , , 111 , " III II 1 It 1111 It II , , , , I I 11111 I I I II1fl I , 11 , , I , It I III " I , I I " , I I I II , " I I , 1111 , , , I I I , , , I I II I I 1 , 1 I I I I I I I I I I I I
<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 onslte, 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 />I I I I III . . I I I I I I III. . I, II. H H I I I ~ IIII & I I ~ 1111. . I d I j III. I . II. d I II II I I I . . III1 I IIIII . , II. III III. . IIIII1111 II I11III ~ II II II 11\ II 111\ I II II [ IIII I I I I I 11
<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. (AlC 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 (PlotJSurvey/Fo'otage)
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