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<br />Date Received <br />, , <br /> <br /> <br />l:lUllolng uepClIUlltlll1 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name M \. <..-'^-....."l <br /> <br />Fee Simple Titleholder Address I ~ ~ (0 sf ""-A ~ ~ ~ a... <br /> <br />JOB ADDRESS <br /> <br /> <br />'"L4'\...yr\....\IS PI. 5~S-'-lO <br /> <br />LOT #I I (( <br /> <br />SUBDIVISION PARCEL ID#/ '3 $" .;;1<;;; d-.l C)C) {O \()OO 000'0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED a NEW CONSTR ,~ ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL 1..-/ OTHER I <br /> I S{l~;\ l-(...f~ (~(y\..~~ .' TPO I' (.ooOP I ( ~ <br />DESCRIPTION OF WORK <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I <br /> <br />1111111111111111111111111111111111111111111'11'11111'111111111111111111111111111111111111'11'1111111111'1111"IIIIIIIIIIIIII'lllllllllllllllllllli <br /> <br />ELECTRICIAN I <br />SIGNATURE _ <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />D BUILDING -1$ 5 OJ--( . .- I <br /> <br />D ELECTRICAL 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />o GAS D ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />I111111111111111I1111111111I1111111111II1I11111111II11111111111111I1111I1I1111111111I111I1I111111111II1111111111111111/1111111/111/111111111111111 <br />I <br />I <br />I <br />/ <br />I <br />I <br />I <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~~- <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <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 />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 /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br /> <br />LICense # <br /> <br />OTHER <br />SIGNATURE <br /> <br />'1 <br /> <br />License # 1<:: cc. (,3c:). b 9 ~...s. -/ <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 onsite, 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 onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />*.*~PROPERTY SURVEY required for all NEW construction. <br />11111111111/ I111 / III / 1I1111I1111 I 11111111111111111 / III / 1111111111 / 1111I1111111 / 11111111111111111111111111111 / IIII / 11I111111 / I / 11111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Conlractor 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 PERM/TTING (Front of Application Only) <br />Reroofs Sewers ServIce Upgrades NC Fences (Plol/SurveY/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />