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<br />\.IllY UI L..CI-'"Y"llllo:l r CIIIIIL nppll\.IQLIVII
<br />Building Department
<br />
<br />
<br />Owner Phone Number
<br />OWner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />
<br />,r
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Fee Simple Titleholder Address
<br />
<br />JOB ADDRESS
<br />
<br />54 3J....J
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<br />lOT #
<br />
<br />SUBDIVISION
<br />
<br />PARCEL 10#1
<br />
<br />(OBTAINED FROM PROPERTY TAX NOnCE)
<br />SIGN D MOVE D DEMOLISH
<br />
<br />OTHER I
<br />STEEL D
<br />
<br />DESCRIPTION OF WORK
<br />
<br />EJ
<br />D
<br />D BLOCK
<br />
<br />I e~ - f2-0rP-
<br />
<br />ISQ FOOTAGE I
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />
<br />ADD/ALT D
<br />REPAIR
<br />COMM D
<br />FRAME D
<br />
<br />OTHER I
<br />
<br />WORK PROPOSED
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />} 3{y)~ I
<br />
<br />HEIGHT I
<br />
<br />BUILDING SIZE
<br />
<br />ROOFING
<br />
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<br />I
<br />
<br />AMP SERVICE
<br />
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<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />I$x'
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$
<br />
<br />c=J GAS ClO
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />BUILDING
<br />
<br />f}.:;2,OOWl
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />c=J
<br />c=J
<br />D
<br />
<br />ELECTRICAL
<br />
<br />PLUMBING
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />MECHANICAL
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />I I I . I . I I III ,., , I I . . I I , . I . I . . I , II , . . I I , , , I I . , , I , II , I , I , , r , , I , , , I , . , I , , , , , , I , t I r p , I I I I I , I I , , . . I I . . I . I . . I . . I , , . . ~ I . . I I , , , , . , r . I I . I , , , I . I , . I . IIIIIII , I ,
<br />
<br />I
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<br />Address I License # I I
<br />~'~";.~RE ~~~p, I ;~~::= l~n1)dFEE~r>1t~n<j1
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<br />
<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 onslte, Construction Plans, Stormwater Plans wI Silt Fence Installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlslons/large projects
<br />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 onslte. Construction Plans, Stormwater Plans wI Slit Fence Installed,
<br />Sanitary Facilities & 1 dumpster, Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans,
<br />****PROPERTY SURVEY required for all NEW construction.
<br />II " I11111 " III " I11111111 " II " III " I11111I " II " I111 " II " 111II11I11111111I1111I " II " I11I i I11111 " I " 111II1111 i 11111I1111 " II " I " " 1111 " III1I
<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. (A1C upgrades over $5000)
<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 AlC
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter If on public roadways..needs ROW
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