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o 1,,)-/ OU-UULU \.illY 01 L.epIlYIIIIII::i t"'t::Hllllll-\pplllA:111011 Building Department j OA-(j I....r I uu-vu,,- I Date'Recelved Owner Phone Number OWner Phone Number I Owner Phone Num~r I OWner's Name SUBDIVISION I I Fee Simple Titleholder Address I I ~l.G \ \~r~:l\~L~~~\.t~ I LOT# r~ I ~~ \-\" \"i-:-rl'\ J . PARCElID#I3A~w\.ql'0~h-a",:;")lo I (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D JOB ADDRESS WORK PROPOSED ~NEW CONSTR G-lNSTALL D SFR OCK DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION 1\4\,)\'\\\~'\' "') D OTHER I DESCRIPTION OF WORK BUILDING SIZE I I 1...........................11.11.............................11.......111......................................11111.1111111.....11111.11.11.1111 HEIGHT c:g.----' BUILDING ~ECTRICAL D PLUMBING 1$<:V\~l~':\\D 1$ \ 1$ 1$ o ROOFING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE t=J PROGRESS ENERGY D W.R.E.C, '" ~ ." :':l. '--.J\\ \L ~~_\ o MECHANICAL D GAS VALUATION OF MECHANICAL INSTALLATION D SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO ~ ~;;CO~PANY ~\-\\:L,\~,~~Q~\~\ REGIS~D r Y I N T FEE CURRENT ' '( y i ~ I , ~~ License # f\.2\o~-:)\\~~ COMPANY I ~ \)'8 Q.."t. ~. ~"L, REGISTERED Y I N I FEE CURRENT I Y I N License # I \~ "\ ELECT SIGNATURE FINISHED FLOOR ELEVATIONS Address PLUMBER SIGNATURE COMPANY REGISTERED YIN FEE CURRENT YIN Address License # MECHANICAL SIGNATURE COMPANY REGISTERED YIN FEE CURRENT YIN Address I License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT YIN Address License # t Pili'.. I I' trill I 1111111" II t, 111111'111111111111111111111" III1II r, 111111" 11111'111111111111111' 1111"'11111111111 r I'. f """ 11'1'1111'" " r, 'I' 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 Attach (3) sets of Building Plans; (1) eet of Energy Forms. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facllltles & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT I & I . . . I I I III I I . . III & I ~ I. . . III 1111111 & ~ . III II ~ . . III I . . U 11111 I1I1 " , . . 11I111 , . . I I I I II III I1II1 I . I 111111 ~ . . I I I I I I . I III i I I I ~ I . . . i . III I I I I ~ . I i I I I I I I . I I i 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 (PlotlSurvey/Footage)