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<br />Fee Simple Titleholder Name <br /> <br /> <br />WORK PROPOSED <br /> <br />~ <br />o <br />o <br />I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />I <br /> <br />B <br />o <br />o <br />-:; i +e lt0l> r--~ <br /> <br />SQ FOOTAGE I <br /> <br />~ t "3 - [82-.- 73ct1> <br />r=L '33 '-l{z. <br />~D4 LOT# I I <br />PARCEL 10# 1/8 -;? Go ";;';;2- On) 0 --(") ~4 aD --~I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTiCe) <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />0 SIGN D MOVE 0 DEMOLISH <br />0 OTHER I 1-. , \--1+ I ndu ,,+r,A p <br />0 STEEL D OTHER I I <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />l <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />- <br /> <br />D BUILDING 1$ I!) tR" 000. 00 <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAL TV 0 <br /> <br />OTHER <br /> <br />FLOOD ZONE AREA <br />~' '-1'l <br />:2~2~~ <br /> <br />COMPANY I <br />REGISTERED <br /> <br />DVES DNO <br />2l i ~~ "I/R. .....) <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <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 FEE CURRENT <br /> <br />V/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />V / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTER,ED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />S~:.c-L <br /> <br />COMPANY <br />REGISTERED <br /> <br />14~y-loh bUhn (f.nfr. <br />Y / N I FEE CURRENT I Y / N <br /> <br />License # Ic'..fI <br /> <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms C, LAC <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 onsile, 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 />RESIDENTIAL <br /> <br /> <br />....,~I <br />~~ <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />