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b 1 J-I bU-UULIJ (.;Ity Or Lepnyrtlllls ~ermlt AppliCation Building Department t-ax-tll J-7tlU-UUL 1 Date Received I I I 13l\::)~~ ~~~WQ.:::\=-3~ I LOT # I~~'& I PARCEL ID#ls'\- ~ ~\ -C!:1~ --C)~ --CJ 33~ I (OBTAINED FROM PROPERTY TAX NOTICE) ~_~EWCONSTR ~DD/ALT 0 SIGN D MOVE 0 ~- INSTALL tj REPAIR PROPOSED USE D SFR 0 COMM D OTHER 1\4 l )("'\\.l ~'f\ TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D OTHER I DESCRIPTION OF WORK I\~\ ~;:)'\i !sri \ ~ """'0 ~~ \~~::,,~ '\ \' \\'i.--f~ - BUILDING SIZE I I SQFOOT~GE I II HEIGHT I . ~~~I~~I'~~"""" 'I~~;' ~ ~~. '_~"""" '~~'~~~~I~~' ~~ .~~~~~.~~~.~~~~~~;~~....................,.....".,.."......, , ~CTRICAL 1$ \ . AMP SERVICE 0 PROGRESS ENERGY ~. )V.R.E.C. \ '--'--^ ( \?.: ~~ 1$ 1$ DGAS D FINISHED FLOOR ELEVATIONS I Owner's Name ~ \- '") OWnef.Add.... hj~\ IjOQ\\~~:t1 . Fee Simple Titleholder Nam _. . Owner Phone Number Owner Phone Number I Owner Phone Numb~r I Fee Simple Titleholder Address I JOB ADDRESS SUBDIVISION WORK PROPOSED DEMOLISH D D PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION ROOFING o I SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO ELEC SIGNATURE COMPANY REGISTERED ~'~~ License # f\' ~'\i.)~ ~ \'k\) I I ~ \? ,L~'t~~t. I . I . Y-I N 't . FEE CURRENT I Y I N License # I \ "& \ I I I I I I I Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # I OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # 111"'111111111 1111"1'11111"'111111111111111111"'1111111111111'11111""111111'1'1111111111'111111111111111'111"111111.11'1111111'1'111111"1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days atter submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL . Attach (3) sets of BUilding Plans; (1) $et of Energy Forms. Minimum ten (10) working days atter submittal date. Required on site. Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. I I I ~ I . I I I I ~ I . . I I I J 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 . . . I I I I I I I I I . I I I I I I j I I I I . . I I I ~ 1 I I , i"'t't't'11 I It' 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 j Directions: Fill out appllcetion completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC 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 AlC Driveways Fences (PloUSurvey/Footage)