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<br />o 1':1-' OV-VVt:.V <br /> <br />VILY VI ~vPIIYllllllu I vllllll.l 'fJt"'I......_"'I.....11 <br />Building Department <br /> <br />Date R-eceived <br /> <br /> <br /> <br /> <br />I <br />I <br />I <br />A '.e- ~ LOT# 1245 I <br />PARCELID#~-25-21- 0170 .-OCX:06- 2450 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />o SIGN D MOVE 0 <br /> <br />o <br />D <br /> <br />)YClnd r 02 V'\ --\ yY)e2> LLC- <br />Owner's Address 17&45 G..---eeJ1 S ) npe Dv <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner's Name <br /> <br />Owner Phone Number 8 J.3 ) 7<6 <br />Owner Phone Number I <br /> <br />Owner Phone Number L <br /> <br />Fee Simple Titleholder Address I <br /> <br />7/7 1. 't <br />G <br />EZr <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK l'yY)obih~ ~')OWlQ.., Se.+-L\P <br /> <br />BUILDING SIZE I 2J 1-.5 to I SQ FOOTAGE I /5/ z I HEIGHT I ~ <br /> <br />"".,...,.""",." ,~",..;, :-:,., """'" """"""" ."",. ,.,.,.."""...",.,., ""'" .....""",....""."..,....,',.,. '1"" ,.,.,... <br /> <br />D BUILDING 1$ 350m. (; C VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ L 000.00 AMP SERVICE 0 PROGRESS ENERGY <br /> <br />D PLUMBING 1$ L/6 D .0 c <br /> <br />D MECHANICAL 1$ I 250. (i () <br /> <br />D GAS 0 ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />B <br />D <br />o <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER IYYJDbd ~ <br />STEEL D OTHER I <br /> <br />D <br /> <br />W.R.E_C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />o <br />I <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />CJNO <br /> <br />1IIIIIIIIItII1111111!IIIIIIII"I'IIIIIIII'IIII'IIIIII'11111111"'ltlllll'I'III,III"IIIIIIII,111111111111111'1'11'111'111111111"'111111111"1111' <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />I ~u//~y IfJe;E~t~J-t f Y / N I <br /> <br />License # I \H OOOCJo<iO <br /> <br />l1\c-e <br />I Y / N <br /> <br />I Y /N I <br /> <br />License # I f S ooC:60 l.o \ <br /> <br />~\A+h~/ -f}-d d \Y\\-tS <br />L, Y / N I FEE CURRENT I Y / N I <br /> <br />License # U HODOOO r.:; 0 <br /> <br />FEE CUR.RENT <br /> <br />IA(~ <br />I Y / N <br /> <br />FEE CURRENT I Y / N I <br />License # leA C03Q7SS <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />11111111111111111111111111111111111111111 " 11111111111111111111111111111111111111111 " 1111111111111111 " II " 1I111111 " 1111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) 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 subdivisionsllarge 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 11111111111111111111111111 i III i 1111111111111111111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />