|
<br />U I ..,r, uv-vv",v
<br />
<br />VILY VI L..vPIlJIi IIlh.,1 I vII I II.. I ',..,,..,IIV-."'_II
<br />Building Department
<br />
<br />Gk(~ ~'~r
<br />
<br />Date Received
<br />111111111"
<br />
<br />(J- (8--bb
<br />r- 0 (1 ZOv1
<br />I /~L/t; G(etr1
<br />
<br />
<br />Owner's Name
<br />
<br />
<br /><;) eve- Df
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />f 3 iw/
<br />IG(GV\d
<br />~
<br />
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />DESCRIPTION OF WORK 1W\()'o)\t
<br />
<br />I '3) ^ (I) I I
<br />
<br />TfTlrTI I , P I I I I I I I I I I I I I I I I , ' I I . P 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 1 I . . . I I I I I I I , , , , I I I . I I I . I I , , r r 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 ,
<br />
<br />D BUILDING I$~S 000. () l>
<br />
<br />,
<br />
<br />D ELECTRICAL ~ ODD. () (J
<br />I
<br />D PLUMBING 1$ C; 06. ()O
<br />
<br />D MECHANICAL 1$ i006. (J'J
<br />
<br />,
<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS 1
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />JOB ADDRESS
<br />
<br />
<br />" J VP-
<br />rloVlz,oY)
<br />
<br />SUBDIVISION
<br />
<br />I
<br />E3
<br />D
<br />D
<br />\'\Cxvu2.- set -Gl.p
<br />
<br />SQ FOOTAGE 001
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />PROGRESS ENERGY
<br />
<br />PARCEL 10#
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />BUILDING SIZE
<br />
<br />ROOFING
<br />
<br />I
<br />1
<br />I
<br />I
<br />D
<br />1
<br />
<br />SPECIALTY D
<br />
<br />FLOOD ZONE AREA
<br />
<br />AMP SERVICE
<br />
<br />
<br />D
<br />D
<br />D
<br />
<br />D
<br />
<br />DEMOLISH
<br />
<br />SIGN
<br />
<br />MOVE
<br />
<br />OTHER Imobll €.I
<br />STEEL D OTHER I
<br />
<br />HEIGHT I
<br />
<br />D
<br />
<br />D
<br />GJ
<br />f'P
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />OTHER
<br />
<br />DYES
<br />
<br />CJNO
<br />
<br />I ~ I , I I I I . I , . , , I . I . . , I . I , I I I 1111 II , r III I r II1I .. I 111111 I " I , I .. I 111111 " III , 111111111 I" I 1111 " 1111 rill' I , I II I I I I , 'I I I I I I 1111111 .. I " , I r r I II I I , I 1I11
<br />
<br />~~~~~RE ~r
<br />
<br />Address ~
<br />
<br />
<br />::t;Z:~~~N E:~ - -,
<br />
<br />
<br />Address _ _
<br />
<br />
<br />:~~N".."::'E ~ ~
<br />
<br />
<br />Address _ _
<br />
<br />
<br />:,~~~~~:Lt~~
<br />
<br />Address _
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I er i1f~~,~j5
<br />
<br />
<br />License # I
<br />
<br />Y/N
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />I ALe,
<br />, Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License # I
<br />
<br />lrht:,~ 1V~, ~!j5
<br />
<br />
<br />License # I
<br />
<br />Y/N
<br />
<br />IA--FL
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Y I N FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence Installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
<br />Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Stormwater Plans wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />11111111111111111111111111111111111 111111111111111111111111111111111111111111111 11111111111111111111111111111111111111 i 11111 1111111111111111111111
<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 Fences (Plol/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
|