Laserfiche WebLink
<br />o i J- {OU-UVLV <br /> <br />'vILY UI LelJl lylI 1111::; r-ellllll J-\1J1J"\jdLlUII <br />Building Department <br /> <br />I GlA-Q I ,.r I Ov-vv..:.. I <br /> <br />'~ \ <br />Owo.,', Add,.., h :t-:--'~QVC'\~t:\07 Di <br /> <br />Fee Simple Titleholder Nam <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />~~~\;;~~~~ :E:1~~~-<nt~~~JI~i <br /> <br /> <br />~ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />AD DIAL T D SIGN D MOVE D DEMOLISH <br />REPAIR <br /> <br />D COMM D I~\,~\~\r<\ <br /> <br />ME D OTHER I <br /> <br /> <br />Date Rec,eived <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~A<JEW CONSTR <br />~iNSTALL <br />D SFR <br />OCK <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING <br /> <br />if~ECTRICAL <br /> <br />I <br />1~~CJ,\1S I <br /> <br />, <br /> <br />1$ I <br />1$ I <br />1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />~\(~~l. <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE ~ <br /> <br />Add",~i~'V' .,.. sJ ~~\q Uoem.# i\:0t('D\\i<.~ I <br />ELECTRIC - ~~MPANY I 8't- 'Y '""(;: \~ j r' ~ _ <br />SIGNATURE ...-- "'G'''''"'' ) -i IN; mcu""~ I Y IN <br />Address I I License # I \ ~ \ <br />PLUMBER I <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />11I111111111111 111111'11"111111111111111111111'11111'111111111111111111111111111111111111111111111111111111111111111111111"'111111111111111111' <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, ConstrucUon 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 ail NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />~~ ..11' 111.1111111 II'I~ III~~IIIIIIIIIIIIIIIIIIII,IIIIIIIIIIIIIII.IIII~...III. ~"~ IIIIIIIIIIII.IIIIII.IIIII~~II~II~ 1111111111111111.111111111111111 <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 (PloUSurvey/Footage) <br />