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<br />813-/11U-UU:.W <br /> <br />~. <br /> <br />.......t-. <br />BUilding Department <br /> <br />Date Received <br /> <br /> <br />OWner phone Number Sf: <br /> <br />Owner phone Number I <br /> <br />OWner phone Nu~b~r I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Nam <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br />. \ . S~~f ~ LOTti <br />. PARCEL ID#W '"'a ~ .. 21.. 001 0 .l:l~OO - Do ~(J <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE 0 <br /> <br />JOB ADDRESS <br /> <br />o <br />o <br />o <br /> <br />D NEW CONSTR r=J' ADD/ALT D <br />~ INSTALL D REPAIR <br />PROPOSED USE D SFRD COMM O. OTHER I <br />TYPE OF CONSTRUCTION D BLOCK L8J:.. FRAME D STEEL D OTHER. 1 I . <br /> <br /> <br />;~~~~~;~;~ ,:~~'" ,I, ~:,' ~-J ~ ;~~~I:~~,~,~:.~ ,<~,I:~J.~:~;: (~:,,,...,,,....,,,..I. on,,",..........,,'~ <br /> <br />1$~/7a-~ <br />1$ <br />1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />DEMOLIsH <br /> <br />WORK PROPOSED <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />t=J <br /> <br />PROGRESS ENERGY ~ W.R.E.C. <br />H=\c...-~&. . <br /> <br />PLUMBING <br /> <br />.I <br /> <br />ROOFING <br /> <br />o <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />/VO~~ .;I /. <br />I . Jf 1'4--\ 41 <q <br />/)1~o'~~ <br />DN~ ~~"~~~~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER ~ . . II. ''<;-1 C67~ 16 cm,PANY <br />SIGNATURE \ \JL,U.l U: . REGISTERED <br />Address W5tB pyrraWII'rlrJ..lf. cd~/ Fl.~'3SS~ I <br /> <br />I <br /> <br /> <br />Ucense# Icte"D$gO~7 <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br />PLUMBER COMPANY I <br />SIGNATURE REGISTERED <br />Address <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED <br />Address <br />OTHER I COMPANY <br />SIGNATURE REGISTERED <br />Address <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />, III ' III , , II 'II 'I' I , 1111 , 11I1 I II " I , " I 1 II 1 II " I 1 I " 1111 1 1111 1 I " I " , I1111 " I 1 II 1 " 1111 1 I 1 I " " I " " 1 II " 11111 " 1I1111 , 1111 1 II 1 1111111111 , , III , I I <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 onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Mach (3) sets of Building Plans; (1) $et of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary FaclllUes & 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 construcUon. <br />11111111111111111111111111111111111111.1111111111,',,1Ij.....II"IIIIIIII.,IIIIIIIIII.lilllliiilllllllillllililllllilillllillllillliliillliillllillii <br />Directions: . . <br />Fill out application completely. <br />Owner & Contractor sign back of appllcallon, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (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 AlC Driveways Fences (PloUSurvey/Foolage) <br />