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<br />o 1,J- (OU-UUL.U <br /> <br />\..IIl.Y VI ,"'f;JtJlI'yIIIIII~' ""'lllnl 't-'t"II-_"I_1I <br />Building Department <br /> <br /> <br />Owner's Address I 7 (p 4 5 <br />Fee Simple Titleholder Namel <br /> <br />me LLC <br />Cree'/? 5/0 Pe.. ;)1/ <br />r <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br /> <br />i~~~tR~~eMI <br /> <br /> <br />r-Y. NEW CONSTR E3 <br />o INSTALL <br />PROPOSED USE D SFR D <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />DESCRIPTION OF WORK I h'lo\?dt \'\.OYNL s.e~ <br /> <br />BUILDING SIZE 13) 'j.. 5 ) Isa FOOTAGE ~ <br /> <br />11,1.1111111.1111111111.111111111111.11111.1,..1.1.111111......1..11..111111111,.11111111111.1..,....111.11..1..1,1..1111111111,..11111..111111111 <br /> <br />1$35. 006.00 <br />Ll ()(){), ~ 0 <br />1$ 'thO. 0 (J <br />1$ L '25D. oC> <br />DGAS D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />~ LOT # I z J)? <br />3LJ - 25-21 -OlIO - 00000 - Z J'ilO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />SUBDIVISION <br /> <br />A v-L- <br />PARCEL 10#1 <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER I Yl'1(lb" f! ..,' <br />STEEL D OTHER I <br /> <br />o <br /> <br />o <br />D <br />D <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />BUILDING <br /> <br />HEIGHT I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />PLUMBING <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />OTHER <br /> <br />DYES <br /> <br />CJNO <br /> <br />11'11111"'ttlllllllllllllll"",II"'I.'I'111111111111'1..1111111111'..'111.1,.1.1."1'1.1......1'1"11'11,111'11'11"'1"'11111111"'1111111"" <br /> <br />BUILDER I ~-f-tR/ ftl d )V)J-/ J IG/N I <br />SIGNATURE Ct) N FEE CURRENT I <br />Address License # Ill-/{J()()oo~6 I <br />ELECTRICIAN ~[f I <br />SIGNATURE 1&/ N FEE CURRENT I ~/N I <br />Address License # IE S ()(X) GO (0 I f' <br />PLUMBER Il(uHfeld fYll1S I <br />SIGNATURE <Sf I N FEE CURRENT I~Y /N I <br />Address License # 1//-100006'(,0 J <br />MECHANICAL ~ce <br />SIGNATURE C{I/N FEE CURRENT IT' / N I <br />Address License # ICAC039755 I <br />OTHER COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # I <br /> <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111I11111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />**"PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />