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<br />01 ,j-f OU-UU'::U <br /> <br />lJllY or Lepnyrnllls t"'errTlIl AppllGaltOrl <br />Building Department <br /> <br />rc1^-O j,j-/ OV-UUL. I <br /> <br />JOB ADDRESS <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />{~~<~~~~~~~;;~\~\C)~~~1t~ : <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />1\~"'~r0\\'\~, <br />o OTHER I <br /> <br /> <br />Owner's Name <br /> <br />Date ReceIved <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Num~r I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ ~W CONSTR <br />~INSTALL <br />D SFR <br />CK <br /> <br />~DD/ALT <br />U REPAIR <br />D COMM <br />D FRAME <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />BUILDING SIZE I I SQ FOOTAGE - HEIGHT <br /> <br />~~(............,..........................,...,...............................................:......................................".,.., <br /> <br />;,~ILDING I$~~ \L\\D;!3 I VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL 1$ r I AMP SERVICE D PROGRESS ENERGY <br /> <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />v2>~ ~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~/ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />,. 1)"':' ,_. <br />~.?'BUILDEG.. <br />? \ SIGNATUR <br /> <br /> <br />Address <br /> <br />COMPA <br />REGISTERED Y Y <br /> <br />:=\\&~ LIcense # ~~\l~ <br />OMPANY I~_~ ~"lli<'~ 1Jk <br />EGISTERED ~ FEE CURRENT I <(i}N I <br />LIcense # I \ ~, <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <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 I N FEE CURRENT <br /> <br />Y/N <br /> <br />LIcense # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />",lff,I"I'IIIIII"I""III"I'IIIII'I"I,I'111111111111111"1111111111"1""1'1"11"111111"11".'111111'IT'IIII",II,II'II'II""'I'I'III'III <br /> <br />LIcense # <br /> <br />COMMERCIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onslle. Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) lIet of Energy Forms. <br />Minimum ten (10) working 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 />SIGN PERMIT <br /> <br />1111.111111.11.11.111111111.111.111.1111.1..1.11111111.'11.11..11.11.11..1.11..11.1111111..11'111111.1.111111.11111.111..11.11111111111.11111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application. notarized <br />If over $2500, a Notice of Commencement I. 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 PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage) <br />