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<br />o 1-.)-/ OU-UUO<:U <br /> <br />1,1[Y or Lepnyrnllls t-'ernm AppllCallUn <br />Building Department <br /> <br />r dkO I -.)-{ oU-uUo<: j <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />:;:;:::OI~'S \0~~"5Yy~ vi'\ -4 <br /> <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />o <br />D <br /> <br />o <br /> <br />DESCRIPTION OF WORK \ <br />BUILDING SIZE I I SQFOOTA~E I \ \ NY t HEIGHT <br /> <br />B~<;"""""""""""""""""'" ~".,...."..".",.".~;~",:.."".""",.,...",:"".".,.,."."""""""",.""""." , <br /> <br />L::J. ~. B WING I~ ~~~ .~ VALUATION OF TOTAL CONSTRUCTION <br />~. ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY <br /> <br />1$ <br />1$ <br />D <br /> <br />PLUMBING <br /> <br />--SJ,{~~~ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />ROOFING <br /> <br />D <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />'\ <br />~~ LIcense # ~ ()~\\~~ I <br />10~}, \~~:~;t I Y/" 011 <br />u <br />LIcense # I \ ~) ~l-<VV' I <br /> <br />I <br />I <br />I <br />/ <br />I <br />I <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />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 <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />. I III , r II , rill f II rill' I II . III , . 1111111 r II , , I Till' III1IIII111 , , III1IIII , II r II , II1I . IIII , 1IIIIII , 1111 " II1I , II . , II . , , II . , II , , II , , III , II rill r IIIII11I <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 onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) $et 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 />SIGN PERMIT <br /> <br />1111111.11 .111.11..11.111 ~ .111111111'1.11.11.11.11.11111 ~. .11.111111.. .1.111.111.11111111111 ~ IIIIII'.'~ 111111.111111. .111111 ~ III1III & IIIIII~J 'III' <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 (PloUSurvey/Footage) <br />