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<br />Owner's Name <br /> <br />-0'1 <br />\""\j , ~ \ f. <br />OWner's Address 13 \~ ~ ~ ~\ \ \ ~~V_ <br />Fee Simple Titleholder Namd <br /> <br /> <br /> <br />raX-.b I..Hbv-vv..n ~ <br />(f\I\C~" ~ I~ <br />~ ~~ U1 . <br /> <br />/~&&1 <br /> <br />b 1,j-lbV-VV~U <br /> <br />L.lty or Lepnyrnllls t-'ermlt AppIICatlO%;~.-, ,., <br />Building Department .. ') \.:IY'"' <br /> <br />Date Received <br /> <br />Owner Phone Number ~~.=I- <br />OWner Phone Number I <br />Owner Phone Numb~r l <br /> <br />I <br />I <br />I <br />I LOT # I~\..s::.ill I <br />PARCEL ID#I'3'-\ -~~ ~J \ -c:~\\() ~) -D'\i<S I <br />. (OBTAINED FROM PROPERTY TAX NOTICE) <br />~WCONSTR ~D/ALT c=J SIGN D MOVE D <br />~ iNSTALL t=J REPAIR <br />PROPOSED USE c=J SFR 0 COMM D OTHER I ~\\. ~\0~ <br />TYPE OF CONSTRUCTION ~OCK ~ D . STEEL D OTHER I <br /> <br />DESCRIPTION OF WORK ~ S~W';~~~ '\.. ~"'~\L <br /> <br />I SQ FOOTAGE I 5 \1 I HEIGHT I <br /> <br />I$~M\ ,\~ I <br /> <br />D ELECTRICAL 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br /> <br />c=J MECHANICAL 1$ I <br /> <br /> <br />D GAS c=J ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I~\\t.~~ ~\\~~ <br />~".~\-\0i\-cQ, I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SI~E <br /> <br /> <br />BUILDING <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 />SPECIALTY c=J <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <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 / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />11111111111111111111111111111'.111111111""11111111111111""'1111111111111111111111"11111111111111111111111111'1"'-11111111111111111111111"'1 <br /> <br />RESIDENTIAL <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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />. Attach (3) sets of Building Plans; (1) !jet of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans, <br />....PROPERTY.SURVEY required for all NEW construction, <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />II H 111111 & I ~ I ~ j 111111111111 . II III II & . .& .. 111111111111 . " ~ ~ II ~ 11111 ~ 1111 ~ H I I . ~ H I ~ I ~ 11111111111111111111 I I & I I ~ II ~ ~ i ~ II & II j I i I1II1I I I i I I i H 1111. II i <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 Driveways Fences (Plot/Survey/Footage) <br />