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<br />bl,,)-lbU-UU,W <br /> <br />\.illY or Lepnyrnllls t-'ermll AppliCatiOn <br />Building Department <br /> <br />rax-(j 1 ';-1 (jU-UUL 1 <br /> <br />~t1"q <br /> <br />Date Received <br /> <br /> <br />. OWner's Name \'rl OWner Phone Number <br /> <br /> <br />OWner's Address ~~~~~~ t::J~ \'f OWner Phone Number I <br /> <br /> <br />Fee Simple Titleholder Nam~. . Owner Phone Numb~r I I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />~::::~::s r~k~~~~..i;~:~CJ~~~~~~~j <br /> <br />~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />CONSTR D SIGN D MOVE D DEMOLISH <br />INSTALL <br />FR J\-2\\\'~I"\."~ <br />L D OTHER I <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTiON <br /> <br /> <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />BUILDiNG SIZE <br />........:,J....,II..II....III...IIII..III.II..................11...111......11111..111.....111111.............1...111111111111111111111111111111111 <br /> <br />~/OING ~~~~~~\I <br /> <br />Q/" ELECTRICAL 1$ I <br /> <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D W.R.E.~ <br />~\('C. ~\ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />rJDL " <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />OTHER <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />~ <br /> <br />License # <br /> <br />\~\ <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />111"IIII"'f"II'IIII'II'I'IIIIIIII'IIIIIIIIIIIIIIIII11""1111111111'1'1'11111"'1111111111111""1"'1111111'111111"""11""1111"'1111""" <br /> <br />RESIDENTIAL <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 onslte, 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 ons/te, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requJrementsmust 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. . IIII ~ IIII ~ I ~ IIII ~ 111111111111111. IIII .11 ~ .. .. III .. .. II '," I I . IIIII . III.. 1111.. IIII j III1IIIII1II11111111 . III ~ IIIIIII i 1.1. 11111111. III , i I J i i IIIII , . II <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 Driveways Fences (Plot/Survey/Footage) <br />