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o 1,,)-/ ou-uu,u vllY UI i..eIJIIYIf IIIJ::) r-elf IIIl J-\~~IIU:iLlU11 Building Department j OA-O 1..,)-/ l)V-vu"- , Date Received ~ 0110 Owner's Name \ 0Wne', Add.... b~~ '\ '>.J/ ,,~~\~\2 \'A Fee Simple Titleholder Nam Owner Phone Number Owner Phone Number I OWner Phone Num~r I I I I 13\'UGLD \~\ \ \ ~~ ~V$~ I LOT' tvlC\ I ~C}m \-~(\ -c~,Y\1 PARCELID#13'-\~c.$~ ~\ aJ\a.~~-()~\~ I ~. 10BTAlNED FROM PROPERTY TAX NOTICE) . ADD/ALT D SIGN D MOVE 0 DEMOLISH REPAIR D COMM D I~\ ~~\.l"\. ~ FRAME D OTHER I ~ Fee Simple Titleholder Address I JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE I I .11...111....1111............111.............,...............11.............................11.........1111111..............1111111111..1111111111 SQ FOOTAGE ~ BUILDING 1$c:0 \ C:\\. ~ ~ I ~/ ELECTRICAL , 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS 0 ROOFING D FINISHED FLOOR ELEVATIONS VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. ~\(Q..~d VALUATION OF MECHANICAL INSTALLATION J.lO~ SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO 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 RESIDENTIAL "11'111111"11111'11111111""11111"'111111111111'"11111'1111111111111"111'11"1111"1""111""'11"11"'111"'11"'1111111'1111"'11'11"'11 LIcense # COMMERCIAL 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) l!et 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. Attach (2) sets of Engineered Plans. . ....PROPERTY SURVEY required for all NEW construction. SIGN PERMIT I I I I I I & . I I . . I I I I I . . I I . . I I I . I I I . I I .. II J . I . . I I . I J . . I I . I I . '. . I I . . I I I . I J . I I I . I I L . I I I . I I I J 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 I . I I ~ . i I I I ~ I I I I i I Iii 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 I. 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 A1C Driveways Fences (Plot/Survey/Footage)