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vl~Y UI L.t:jJIIYt 11111" rt:IIIIH t"\jJjJ II vclllU I I Building Department I UA-U ) v-I uv-vv~ I Date Received o o I I I I-~\\ \.\~ ~ ,\'\.c:fy) ~~ I LOT# I ~ I PARCEL ID#13L\-~ ~~\ --c::::cJ$J-~1m-~~ ~ (OBTAINED FROM PROPERTY TAX NOTICE) ~EW CONSTR . ADDIAL T D SIGN D MOVE 0 DEMOLISH ~iNSTALL REPAIR PROPOSED USE D SFR D COMM D OTHER ~\. \~"'\. ~l"{ "\ TYPEO.CONSTRUCTION ~ D ~~ D OTHER I DESCRIPTION OF WORK ~~.Lm \a~_~~~\- I . BUILDING SIZE I I SQFOOTAGEI ~~ 1 HEIGHT I ~11'1'1"I""I.""r'".II."".'."""'T""'TI."."1111..1111111111..11111111...............1111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIT ~ BUILDING I~\ ~~\~ .. VALUATION OF TOTAL CONSTRUCTION ~CTRICAL 1$.. \ . . . AMP SERVICE t:J PROGRESS ENERGY D W.RE~ . ~ ~~\'C'_ _ 1$ 1$ o - 2 -01 Owner's Name ~s:J ~ Owner'. Addre.s I\~~-'.::> ~ ~'$~Q.V' Fee Simple Titleholder NamJ Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION ,\'~~ ffi'\-C(Y' I WORK PROPOSED PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION jJOU - o GAS ROOFING D SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO FINISHED FLOOR ELEVATIONS PLUMBER SIGNATURE COMPANY REGISTERED ~~ LIcense # I~~\\~~ I I ~";-~~~T ~Y/N I License # I \~ I I I I I I I I YI N FEE CURRENT Y/N Address Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I LIcense # COMPANY REGISTERED YI N FEE CURRENT Y/N LIcense # COMPANY REGISTERED YI N FEE CURRENT Y/N L1cEmse # III' , , 111111 , 111111111 , , 1II11 ,1111111111 ~ IIII " 11111.11, \ 11111 I 1111111 1 III. III , , ,I,. I , , III , I , 1111111111 , , , , I11I1I r III1I , , I , 11111111111 II 111111111111111 RESIDENTIAL Attach (2) Plot Plans;.(2) sew ofBulldlrig Plans; (1) set of Energy Fonns Minimum ten (10) working day~ after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL . Attach (3) sets of Building Plans; (1) lIet of Energy Fonns. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requlremenw must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTy-SURVEY required for all NEW construction. , 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 II I I I I I , I I . I . . I I I I I " I I I I J . . 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 I I I I I I I I I I I I . I I I I I Direction.: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)