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<br />
<br />L.IlY or Lepnyrnllls t"ermll AppllCallOn
<br />Building Department
<br />
<br />r dA-O 1-:1-' OV-UUL I
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<br />Date Received
<br />
<br />
<br />Owner's Name
<br />
<br />OWner Phone Number
<br />
<br />OWner Phone Number I
<br />
<br />OWner Phone Numb~r I
<br />
<br />I
<br />I
<br />
<br />
<br />Fee Simple Titleholder Address I I
<br />
<br />
<br />~~\~~i~t~~:j~t~>~\__~~~,L~~~~~~ :
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />~EWCONSTR cq--ADD/ALT D SIGN D MOVE D
<br />~iNSTALL D REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER IC\~ ~'I0I \f'1\
<br />TYPEOFCONSTRUC11ON ~ ~. FRAME, ~EL D OTHER I
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<br />DESCRIPTION OF WORK ~ ~i ,-==-----: \..-~\2d, ~ ~,-\- .
<br />
<br />BUILDING SIZE I I SQ FOOTAGE I \ \ '-\ I HEIGHT I
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<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 I . . . . I . I . . I . I I . . I . I I I I I I . I . . . I I I I I I
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<br />Own...Add.... I \~<t::' \. ,II \)()~"'J\,\-V .\)
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<br />Fee Simple Titleholder Nam
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />~ BUILDING 1~~\3\ .()~ I
<br />~ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I
<br />0 GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
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<br />PROGRESS ENERGY
<br />
<br />o W.R.E.C,
<br />~\'~~~c\
<br />,..Joe
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ELECT
<br />SIGNATURE -
<br />
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />.0
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />COMPA~ ~'~t~5\3"c'\.\k--.~~.
<br />REGISTERED ~'--I 'F~~ CURRENT~I NT
<br />-:1t: ~ License # ~~ C\~\ 1'( \\\
<br />I ~~ \) -\~\ t>~~,~~
<br />, ,l'y I N I '--'-;EE CURRENT' I Y I N
<br />
<br />License # I' ~ I
<br />
<br />PLUMBER COMPANY
<br />SIGNATURE REGISTERED YIN FEE CURRENT
<br />Address License #
<br />MECHANICAL I COMPANY
<br />SIGNATURE REGISTERED YIN FEE CURRENT
<br />Address I License #
<br />OTHER I I COMPANY
<br />SIGNATURE REGISTERED Y/N FEE CURRENT
<br />Address I License #
<br />
<br />YIN
<br />
<br />YIN
<br />
<br />YIN
<br />
<br />RESIDENTIAL
<br />
<br />, . I , II r I , III , , r r II J I t II 1111' , , ril'" , I111 , 1111111 r r r r IIII T IIII111I11 , 111I , , r 1111 , . , r 1111111111111 , , I , II1II , , , , , IIIII . . IIII , I , I . , , I1III , , III1 I . , , II
<br />
<br />COMMERCIAL
<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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />Attach (3) sets of Building Plans; (1) lIet 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 />SIGN PERMIT
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<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 III L . .. . I . . I I . . I II I . I II ~ I I . . . I I II. . I I I I . II 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 Iii I & I I ~ i I I I I I I I I II I I I I I I I ~ I I i I I I ~ I I I I I i
<br />Directions:
<br />Fill out application completely.
<br />Owner & Contractor sign back of appllcetlon, notarized
<br />If over $2500, a Notice of Commencement I. required. (AlC upgrade. 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 A1C Driveways Fences (PlotlSurvey/Footage)
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