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bl.j-lbV-VVLV lJlty or Lepnyrnllls r-ermlt AppliCatiOn Building Department r dkO 10-/ OU-UU", I 1t~ ~2Jp Date Received \\ , Owner Phone Number Owner Phone Number I Owner Phone Numb~r I \ -. ~& - \ \ Own._.Add.... I\~~\~ Fee Simple Titleholder Nam Owner's Name JOB ADDRESS I I Fee Simple Titleholder Address I I f~~~~~~~:~~~~-~-~i , (OBTAINED FROM PROPERTY TAX NOnCE) ~~WCONSTR ~D/ALT D SIGN D MOVE D D. EMOLlSH ~;:.iSTALL t:j REPAIR D OTHER IY~.\\. ~~)f'\\ D STEEL D OTHER I SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE I I SQ FOOTAGE HEIGHT I I .--1 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 ~ BUILDING :$0 \~ \l)": VALUATION OF TOTAL CONSTRUCTION ~ELECTRICAL $ AMP SERVICE D PROGRESS ENERGY S~ o PLUMBING 1$ I o MECHANICAL 1$ I o GAS D ROOFING D FINISHED FLOOR ELEVATIONS I I VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO -1'00 'l.;\ inilLDE SIGNATURE PLUMBER SIGNATURE COMPANY REGISTERED ;=~~~'rn7i()~ I ~~ LIcense # ~'\C)S-\\~~ I ~~::~~ I ~1~u~~}-l Y/N I LIcense # I \~"I I I I I I I I Address ".;;:;j '3'? ELECT SIGNATURE Address Y/N FEE CURRENT Y/N Address LIcense # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address LIcense # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address LIcense # II" I I I '" 111'11'" 1111'111 r",. I I 1111111' 11111 If '111111111'." II r 1111111111111111' r 111111111" r 1111111'111111111111. I., I '" I' 1'1'1'1111" 1'111' J II 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) tlet 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. COMMERCIAL SIGN PERMIT I II ~ ~ ~ I II I I I I I I ~ III I I ~ III IIII I IIIII I ~ IIIII ~ J . IIII ~ IIIII 'I J . I . III IIII ~ . J . III II . . II I I IIIIIII 1I1II ~ I I I II II ~ III1III1 II ~ 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 Directions: Fill out application completely. Owner & Contractor sign back of appllcetlon, notarized If over $2500, a Notice of Commencement Is required, (A/C 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 NC Driveways Fences (PloUSurvey/Footage)