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<br />tJ }.>-I tJu-uu,",u <br /> <br />lilty or Lepnyrnllls t-'ermlt AppliCatiOn <br />Building Department <br /> <br />rax-tJl.>-1 ClU-UU,", 'I <br /> <br />Date Received <br /> <br /> <br />WORK PROPOSED <br /> <br />Owner's Name Owner Phone Number <br /> <br />Own.Mdd.... h~ ~~ G Owne,PhoneNum",I I <br /> <br />Fee Simple Titleholder Nam Owner Phone Num~r I I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />~::::::. ~~~~~:'~I?>-\~~~~~\C)~~;~ ~~~: <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br /> <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />I \-4\~~~~'0(\ <br />D OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />~LECTRICAL <br /> <br />BUILDING SIZE I I SQ FOOTAGE HEIGHT I . I <br /> <br />.:.:....:...:..' 'Y.".'.""".""'."'."".'."""""""!.'.".'" ',',.,"""",.""""""."""""",."."""""",."""..""." 'TTTTTT <br /> <br />~ BUILDING 1$ 3":J\ c-..,\ ~ ~ I VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$' I <br />1$ I <br />1$ I <br /> <br />o ROOFING D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY ~(~ <Sh~~ <br /> <br />D <br />D <br /> <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />/ N <br />c- \ \ ~ License # ~ 'U"'\ \l"r~ <br /> <br />Rf\}0~~~'~YlN <br /> <br />License # I \1:;1 <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />111'11"11111'111'11'1'1111'11111111'1'1111'111111111111"111111111111111'111111'1'11111111111111111111111'111111"1"11"111'1'11"11'11'11'11111 <br /> <br />License # <br /> <br />COMMERCIAL <br /> <br />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. ConstrucUon Plans, Sanitary FaclliUes & 1 dumpster <br />, Attach (3) sets of Building Plans; (1) f!et of Energy Forms. <br />Minimum ten (10) WOrking days after submittal date. Required onslte, ConstrucUon Plans. Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTYSURVEY required for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />111,,11.111,11,11111,11.1111111111.11,11,1.1111111111,1'1.,11.111111,11,11,11,11,111111111111111111111.11111,IIIIIIII,III,IIIIIIIIIIII,'illl'II.lli <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement I. 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 NC Driveways Fences (Plot/Survey/Footage) <br />