Laserfiche WebLink
<br />VILY VI "-CfJIIYt 11111;:) rClIlIlL r\fJfJllvdLIVII <br />Building Department <br /> <br />1 U^-V I ,..r I VV-vV~ 1 <br /> <br />Date Received <br /> <br /> <br /> <br /> <br />-1-0 <br />Owner's Name \- Owner Phone Number <br />Owner's Address I \\.s,)'-D'\:.. C{QQf")~~~ \'(. Owner Phone Number I <br />Fee Simple Titleholder Nam~ OWner Phone Numb~r I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br />I~\\~~ UQ2\~\\~v...*~~~~ . I LOT# I I <br />~~~\ V\~\~~ .PARCELID#I~-~~\-~\~~~-CJ~ I <br />~. .~. (OBTAINED FROM PROPERTY TAX NOTICE) <br />WCONSTR . ADD/ALT D SIGN D MOVE 0 DEMOLISH <br />INSTALL REPAIR <br />PROPOSED USE D. SFR D COMM 0 OTHER 1C\\~~'0 '\ <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I I <br /> <br />DESCRIPTION OF WORK 15&(1 Rr)')') Go.)( \4) Shpr\ Gf)}( \ 2') EJI'ea"\6<2. RI'Y\(\2Jl. '~6AeASP (dlh<2t:J <br /> <br />I SQ FOOTAGE I I HEIGHT I I <br /> <br />::~~~3~\ <br /> <br />1$ <br />1$ <br />D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ROOFING <br /> <br />: <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERG~~OOC <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />o <br /> <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />~ FINISHED FLOOR ELEVATIONS <br /> <br /> <br />~. BUILDER <br />\1(/ SIGNATURE <br /> <br />\ ;:'\J Address <br /> <br />r ~ EL <br />~, 11,. . SIGNATUR <br /> <br />'\J Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <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 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 />'I rill r rIll J r 1111" r 111111111.111.11 r 11111111' II 1111' II ~ II I r I' 1111111111'11'1111.111' 1111111111'1111111'111'111 T' 111" 1111'" r IIIIII11111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; '(2) sets of'Bulldlng Plans; (1) set of Energy Forms <br />Minimum ten (10) working day~ after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL , Attach (3) sets of Building Plans; (1) eet of Energy Forms, <br />Minimum ten (10) working days aftereubmlttal date. Required on site, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commerc:lal requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTYSURVEY required for all NEW construction. <br />I I I I I I I I I , I , ~ I I I I J I I I I I I I J I I I I I I I I I I I I I I I I I I I I I I . I I I ~ I I 'I , I . I I I I I . I I I I I I & . . . I I . I I I I ~ I I I I I I I . I J ~ I I I I I I I I I I I I I I I I I I I I I I I J I I I I I I I I I I I I I I I I I I I I I I I I I I I j <br />Directions: <br />Fill out appllcatJon completely. <br />Owner & Contractor sign back of appllcetlon, notarized <br />If over $2S00, a Notice of Commencement Is required. (AlC upgrades over $SOOO) <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 AppllcetJon Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br /> <br />License # <br />