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() i,J- (OV-UVLU l..dlY UI Lt::fJIIYIIIIII~ ,t::lllIll t-\fJIJIIl-c:lLlUII Building Department Date Received Fee Simple Titleholder Address I I I IS\~'4'-\ \'~\\ ~~\L~~-Y-\~ ~ LOT# ~\3 I PARCEL ID#I ~~ ~\ -<:"iJ\C) ~~) -C)B>-tl (OBTAINED FROM PROPERTY TAX NOTICEj SIGN 0 MOVE D \\\ ~R~~Q(J( Owner Phone Number Owner Phone Number [ Owner Phone Number L JOB ADDRESS SUBDIVISION DESCRIPTION OF WORK ~ ADD/ALT t=l REPAIR D COMM D F M DEMOLISH WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION MECHANICAL I I~~~~I , 1$ I 1$ I 1$ I D ROOFING D , SQ FOOTAG~ 1\ BUILDING SIZE BUILDING ~CTRICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D WREC\ ~( Q.., -::D~\ . o o PLUMBING VALUATION OF MECHANICAL INSTALLATION o GAS SPECIALTY D FLOOD ZONE AREA OTHER DYES CJNO FINISHED FLOOR ELEVATIONS ELEC SIGNATURE ~cV\.c:> License # ~ t\~ "\ \~~) I 1\1\Y~~cu}'f~ I YIN License # I \1;\ BU~ SIGNA TUR Address PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # 11111111'111111111111111111111"1111111111111111111111'11111111111111111111111111'1'111111111111111111111111'1111111111111111111111111'111111"111 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 requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 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 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 r I I rl 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)