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I:IUIIOlng uepcll11llt:1II 'fJ--q- S-.~;) s-s-yS- E,xT II ~ "' ~~V igO'~TIb Date Received Owner Phone Number Owner Phone Humber I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel M. \L\:\~ \:::> \ fA \ \" -e.:\ Fee Simple Titleholder Address 1'""5 <6 Co 5 I TA~\L. .\) Q, I ~"=IO<.o 1) A\.JG(t-\\f" 9.- '-( IleR~i dl'l U,:> Co llO,,\--.fd. PARCEL ID# 1 ~ -; D NEW CONSTR CJ ADD/AL T D D INSTALL c:;a REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK [Z] FRAME D STEEL D DESCRIPTION OF WORK I ~ V\...';) \<... \'\., ~ ~rcA-<.... ,Q 0 Y bg s P BUILDING SIZE I. .. I SQ FOOTAGE I I HEIGHT I 11111111 , 11I1 , II , , , , 1111 r , 1111I111IIII11 r II , 111111111111111111111111111111111111111111111111111111111II11111I , , , r I J 11111II1II1 , I , 1111111111111111 i ~\OO JOB ADDRESS 'Zc..p\'''1 r \, \ \\,<:... QS) rL-o '~5 S-yv I LOTt SUBDIVISION 9. S ~ \ 00 lO 1 d-.~ 08 O<::.QO (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED OTHER I D 1$ I 1$ I 1$ I (1fttJ[i~ 1$ I VALUATION OF MECHANICALlNSTALLATION ~~:!tCf;'" ~ D GAS ~ ROOFING D SPECIALTY D OTHER I" FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA DYES DNO 1I11111111I11111111111111111111111111I11111111111111111111111111111I11111I11111111111111111111I111111111111111111111111111111111111111111111111111 BUILDING VALUATION OF TOTAL CONSTRUCTION D D D ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. PLUMBING MECHANICAL I I I I I I I I I I C~/~q3r I Address License # < ~ J.. . 1II1111I1111II111I1111I1111111111111111111I11111111111I1111I1111 1 111I111I111111111I1I1111 i 111II1111I i 111I1111 i 1I1II11111111I1 j IIIIII11I1 fill ill I i I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. . Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ...~PROPERTY SURVEY required for all NEW construction. I ') III! , I r I , , 111I11 , I r 11111 , 111111 , 111111111 J 1I11111111 J 11111111111111111111111 , 11111 , 11I11111 , 11111111/ 111111I1I111I1111 , I J 11111' I , 1111 , III/ II111 Directions: Fill out application 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 BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N ,. Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Address Y/ N FEE CURRENT Y/N OTHER SIGNATURE '5'0 I . liCense # COMPANY 1-r-eO~\c..AL ~~lAJ~ REGISTERED I Y I N FEE CURRENT Y I N I COMMERCIAL SIGN PERMIT Fences (Plot/Survey/Footage) Driveways-Not over Counter If on public roadwaysuneeds ROW