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<br />Ol"-/OU-UU'::U
<br />
<br />vllY 01 L.t:lprIY"lIlI::i t""tHIIlIL I-\ppllU:lLlUl1
<br />Building Department
<br />
<br />I QA-U I ..r I uu-uv,,- I
<br />
<br />
<br />Date Recelvecl,
<br />
<br />Owner's Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Num~r I
<br />
<br />SUBDIVISION
<br />
<br />l\~~\ \-ti\~r\ I
<br />I
<br />
<br />I
<br />I
<br />I~\\ ~\ ~\ \ \ ~\ ~ -=t:~DL\ I LOT# I ~~L\ I
<br />PARCEL ID#I5--\~ -Q \ -CD \()-~~m ...o~y I
<br />(OBTAINED FROM PROPERTY TAX NOnCE)
<br />SIGN D MOVE D
<br />
<br />1f2\\~\~
<br />D OTHER I
<br />
<br />Fee Simple Titleholder Address
<br />
<br />JOB ADDRESS
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />~NEYV CONSTR
<br />c:::a..--msT ALL
<br />D SFR
<br />LOCK
<br />
<br />~6/ALT
<br />D REPAIR
<br />D COMM
<br />FRAME
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />DESCRIPTION OF WORK
<br />
<br />
<br />~- .
<br />
<br />BUILDING SIZE I I SQFOOTAGE ~~~ HEIGHT
<br />
<br />111...11...........11.1111....................................................................11....11...,11111.....1.11111111111111111111
<br />
<br />~ BUILDING b4 I ~-;'\ .L\~ I VALUATION OF TOTAL CONSTRUCTION .
<br />
<br />~., ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C.
<br />. ..;)\{Q...~ .
<br />J' 0 PLUMBING 1$ I G..Jc)J...~ (:CY h naiL ~
<br />
<br />, i 0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION ('r\ 1+. ~f>
<br />
<br />o GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />,
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />Address i'\~ I\S\~ ~ ~\2\l<;-\
<br />
<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />~\D Ucense# ~"':\--r,~~
<br />
<br />~~~~ex~L/ '>tL-~~
<br />YI N FEE CURRENT 1 Y/N
<br />[\'.ii2... ""'""'\
<br />License # -l--. ~ I -,.L
<br />I (~: --=-~_ ' , ",-
<br />Y I N FEE CURRENT Y I N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />, I , , , II , , . , , I I r 11111 , II , , , II111III1I , r r 1II1 fllllll , III , III r , 111111111 , , , , r 11111111111111111111 , , , , , , , If , I , , " , " 11 , , , , r 1111I " III I . , 1 , , , , 1II111I11
<br />
<br />RESIDENTIAL
<br />
<br />Attach (2) Plot Plans; (2) sets of BUilding Plans; (1) set of Energy Fonns
<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) !let of Energy Fonns.
<br />Minimum ten (10) woridng 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 />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />III ~ III ~ . . I 111III j I & & . . II1III1I11 J I L . . IIIII j. . . IIIII ~ ~. '. . 1II11III1 j I . . . . 11111111. I . III11111II111I1 j I. 11111111. ~ III i 1II1IIIII ~ I ~ ~ 11I1I , I I , 111111111
<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 Appllcetlon Only)
<br />Reroofs Sewers Service Upgrades AlC Driveways Fences (Plot/Survey/Footage)
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