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<br />tl.( j- f tll..'-UJLU <br /> <br />\..IllY UI L.l:::IJIIYIIIlIli:> r vIII ilL ntJtJ"V<.AL'VII <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Foo Slmpl. Tlll.hOlr.' Add.... I <br />JOB ADDRESS . 3 Q'1 05 <br /> <br /> <br />LOT # I 3~ <br /> <br />PARCELID# ~1-ct.b- 1-0000- OO/OO-OOCfO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SUBDIVISION <br /> <br />~ <br />IT] <br />D <br />5heq <br />f.. a <br /> <br />SIGN 0 <br /> <br />MOVE D <br /> <br />D <br />D <br />D <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL CJtJ <br /> <br />PROPOSED USE <br />TYPE OF CONSTR <br /> <br />OTHER I ti'tu...m <br /> <br />DESCRIPTION OF <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />:: <br /> <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR E EVATIONS I <br /> <br />: <br />I <br />I <br />D <br />I <br /> <br />?f} 300. oJ- <br /> <br />VALUATI()N OF TOTAL CONSTRUCTION <br />~ C)};:. <>":<> <br />~MP SERVICE D PROGRESS ENERGY <br /> <br />D <br />D <br />D <br /> <br />D <br /> <br />D W.R.E.C. <br /> <br />ELECTRI <br /> <br />Il~~ 'ftJ7 sd <br /> <br />~ <br /> <br />NDC <br /> <br />MECHANI AL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />GAS <br /> <br />ROOFING <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />License # I C8C/~'S'-ft 13 <br /> <br />For+- Ki{"l <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Y I N FEE CURRENT <br /> License # <br /> YI N FEE CURRENT <br /> License # <br /> YI N FEE CURRENT <br /> License # <br /> Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />inimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />anltary Facilities & 1 dumpster; Site Work Permit for subdlvisionsllarge projects <br />ttach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Inimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Slit Fence installed, <br />anltary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />ttach (2) sets of Engineered Plans. <br />. "PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out appllcatio completely. <br />Owner & Contrac r sign back of application, notarized <br />If over $2500, a otice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the con ractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs S wers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not 0 er Counter if on public roadways..needs ROW <br />