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<br />lj.~"-/au-vv.(;u <br /> <br />"-'I" VI .&........,..,'.1'......... ........... .,........--...-. <br />Building Department <br /> <br />Owner's Name <br /> <br /> <br />Dllte Received <br /> <br />OWner's Address . n 1 <br /> <br />Fee Simple TItleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />i3"I'1r.c, 'D:u..gNent RA <br />. I PARCEL 10#1 <br />B <br />D <br />D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAlNEO FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />E3 <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />."em""". OF WORK I "",. n\'Il r 5<-r<lP ~ <br /> <br />BUILDING SIZE I sa FOOTAGE I HEIGHT I <br />...............,........",..........................,......".. ...........,.,.....,.....".,.......,........,.....,........ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADDIALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />............, <br /> <br />...... <br /> <br />1$ 4oo~. 2:~ 1 <br />1$ I <br />1$ I <br />1$ I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />License # I I <br /> <br />IA~A? nV\O""llV"\~~IcIKlr.1 A/J., ~PI"'1i I <br />I Y I N' I FEE CURRENT ~ <br /> <br />License # I I <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />LY.D:U <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y IN <br /> <br />FEE CURRENT <br /> <br />LY.D:U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />LY.D:U <br /> <br />License # <br /> <br />Address <br /> <br /> <br /> <br />Y IN <br /> <br />FEE CURRENT <br /> <br />LY.D:U <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />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 onslle, Construction Plans, Stormwater Plans wI Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsllarge projects <br />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 onsile. Construction Plans, Stormwater Plans wi Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. 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 />DI~~~ii~~~';""""""""""""""""""'"'''''''''''''''''''''''''''''' . <br /> <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 lelter from owner authorizing same <br /> <br />'OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />................................ <br /> <br />........................... <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />