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<br />13ullOlng Uepi:lrUIlt:1I1 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Humber I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />~ arab ( iA(/"((' ~D <br /> <br />Uft~ku+r IZ.d , <br />Col~ltl ~. I PARCELID#I'~S-d-..D~) OfJ/1l // DJ:/O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />,tt3 ~~~~~T 0 SIGN D MOVE 0 <br /> <br />c==J COMM 0 OTHER I <br />o FRAME 0 STEEL D <br />,M.~~ n::-c I (T fo L-l Il.1J J <br /> <br />Zq>~rk.Us .pI 3-S~ <br />2-(-1 f( 7S 32~ I <br /> <br />LOT # <br /> <br />ELECTRICIAN I <br />SIGNATURE " <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />I "3~-=t-O ~ <br />tze~r <br />B <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I S~'D lL P { I <br /> <br />BUILDING SIZE 1 1 SQ FOOTAGE I HEIGHT <br />1111111111111111111111111111111111111111111111'1111'111'11111111111111111111111111111111111111111111'111111111'1111111'111111111111111111"11111'. <br />D BUILDING '/$ C-{ d- Cz 7- . dO I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ 1 <br /> <br />o GAS ~ ROOFING c==J SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111II11111I11II1111111111I11111111111I111111I1111111111111111111111111I111111111I111111II11111111111111111IIIIIIIIIIIIIIIIillllllllllilllllllll <br /> <br />:I~~~RE I I ~~= I Y IN"" CUR",,", Y I N I <br />~~I ~~# I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />c1f2f <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />c==J <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />;)ot- <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />o <br /> <br />License # I <br /> <br />COMPANY 1(~AL4.'-- ~,Vc;- <br />REGISTERED I d; N I FEE CURRENT I Y / /I.J ,. <br /> <br />( 3 7oe, license # I C"C( (;S;;Z 6 '( 5 sl <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL 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 />COMMERCIAL Attach (3) 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 />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />*mpROPERTY SURVEY required for all NEW construction. <br />1111111111111111111111111111111111111111111111111 " 11111 " III " 1111111111111111111111111111111111 " 11111111I1I11 " 1111111111111111 " 111II111111111 <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 Attomey (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 Fences (Plot/SurveY/Footage) <br /> <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />