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<br />U 1 j-IlJU-UULU <br /> <br />Glly 01 L8r.JIIY1111I1S l.lH IIIll "fJfJlIl,ullUII <br />Building Department <br /> <br />Date Received <br /> <br />11~4~ <br /> <br />... Owner's Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />S'n"/?? 4- <br />..s-R-?O I r ~,-. <br /> <br /> <br />Hd.(~ <br /> <br />/-t. <br /> <br />11r4 <br /> <br />LOT # <br /> <br />/ JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PARCELID# /I-;ll> .- ~/- e~/t) -6/Ut..1 ~ -olce <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />COMM <br /> <br />FRAME <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />D <br /> <br />.~ <br />/I,~'()/~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/ 1$ <br /> <br />D ELECTRICAL 1$ I <br /> <br /> <br />D """"NG I' I ^ J 0 I!- ..? <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION ~ vJ ~;+ --- v:/ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER c... fO,( ~j T S V~ - <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo (tV ~ --:-- -dV\. ~ <br /> <br />I111111111111111I11111111111111I1111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 ~ND~~ ~ <br /> <br />BUILDEM, I COMPANY I I~~i~ 0}'1 <br />SIGNAT~E' L REGISTERED YI N FEE CURRENT ~ -'1. <br /> <br />Address L License # I 255: ~t::. <br /> <br />ELECTRICIAN [ COMPANY I <br />SIGNATURE REGISTERED Y I N FEE CURRENT ~ <br /> <br />Address [ License # I <br /> <br />PLUMBER [ COMPANY ] <br />SIGNATURE REGISTERED Y IN FEE CURRENT ~ <br /> <br />Address [ License # I <br /> <br />MECHANICAL [ COMPANY I <br />SIGNATURE REGISTERED Y I N FEE CURRENT ~ <br /> <br />Address L License # I <br /> <br />OTHER [ COMPANY I <br />SIGNATURE REGISTERED Y I N FEE CURRENT ~ <br /> <br />Address I License # I <br />/11/1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Allach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsile, ConstrucUon Plans, Sanitary FaciliUes & 1 dumpster <br />Allach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commerclal requirements must meet compliance. <br />Allach (2) sels of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back 01 application, notarized <br />If over $2500, a Nollce of Commencement Is required. (AlC upgrades over $5000) <br />Agent (for the contractor) or Power of Allomey (for the owner) would be someone with notarized leller from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroors Sewers Service Upgrades AlC <br /> <br />BUILDING <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />