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<br />01 ,j-{ OU-Uu.::U <br /> <br />vllY 01 LelJlIYIf 1111::; r-elf (Ill MIJIJ"\jdllUII <br />Building Department <br /> <br />,,/ <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number L <br /> <br />Owner's Name <br /> <br />SUBDIVISION <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br />~':t~tj~ ~C0~~ :=J LOT# 1c:Z)-:,3 I <br /> <br />. . '\ . PARCEL ID#13"\-~~\-c:n\C'I--cA~) -~:')~ I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~JodEWCONSTR ~DD/ALT D SIGN 0 MOVE D <br />~iNSTALL 0 REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER I~)\\.."'r\\\r-\"'m <br />TYPE OF CONSTRUCTION ~CK ~RAME. 0 :':E~THER I <br /> <br />DESCRIPTION OF WORK ~~.~ ~O \0\-~_.-\- -- <br />J ' <br /> <br />I SQ FOOTAGE I \ C\ I ~ I HEIGHT I ~ <br />~~~\.\..9~ I <br /> <br />, <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />Owner'sAddress I'~~~~~\:x <br />Fee Simple Titleholder Nam~ <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br />,/'. <br /> <br />~ECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D W.REC <br />~~\L -3\~. <br /> <br />o <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~ <br /> <br />D <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Y/N <br />~ L1cense# mCb\\~~ <br /> <br />~~)=i\~~~;:- I VIN <br /> <br />License # I \ ~l <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />, <br />Illlll"""111111111"II'III,I",',I'1111111111111111111111111111""1111111"1"1'1111'111"1111111111111111'1111111111'111111111""'1111111111 <br /> <br />License # <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 onslle, 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 submlltal date. Required onslle, Construction Plans, Sanitary facilities & 1 dumpster <br />All commerclal 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 />II!IIIIIIIIIIII' I!IIIII.~ I ~I ~1111111111111111111111111111111'"IIII~~IIIIIII~11111111111~1~111111111',11111111111111111111111111111111111 i III, r 1111 <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 AlC Driveways Fences (PloVSurvey/Footage) <br />