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<br />I <br />, <br /> <br />I <br />33SVd.- I LOT' I ~ oZ.<;t3i <br />PARCEL 1011 I / -::<(p - ;;}./-OOIO'- O~t?t^JCJ- OO/fJ i <br />(OBTAINED FROM PROPERTY TAX NOncE) <br />SIGN 0 MOVE 0 <br /> <br />I:lUIIOIng Deparbnent <br /> <br />Ownefs Name <br /> <br /> <br />Date ReceIved <br /> <br />Phone Contact for Permitti <br /> <br />a zd e II <br />OWrll\['s Add;ess' [ 5 q 3 q / s c/1..- sl- , <br /> <br />Fee Simple TItleholder Namel So- VY\ e <br /> <br />Ch ,II", <br /> <br />- . - . -- vv_ J <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />t;adLtO~~~ I R-ef1/t'i t'PYnf/ r,-f: <br /> <br /> <br />r uJ/ Y-h new ~no <br /> <br />BUILDING SIZE SQ FOOTAGE I j-<! 93 ,I HEIGHT I /.y / I <br />1'1111 f" IIIII r 1111111111' r 11111111" 1111111'11111111111111" 111111"1'1'1' r II r 1'1111111111111' 1"11 J II J 1'111 J IIIII J IIIII r 11111111" 111'1111'11111 <br />o BUILDING 1$ / A1 /}. {J,o {) I <br />. / U,;( < . VALUATION OF TOTAL CONSTRUCTION <br /> <br />, <br /> <br />1$ /sot) I <br />1$ 500 I <br />1$ ~ 3 00 I <br />D GAS 0 ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />Fee Simple Titfeholder Address I s O.-vn e... <br /> <br />! /5 '13 '1 ( '5""-- S- /-, <br /> <br />I (!/4 0 f ~/Ufl-h/~ <br /> <br />D NEW CONSTR B <br />lLS] INSTALL <br />o SFR CJ <br />D BLOCK D <br /> <br />JOB ADDRESS <br /> <br />G~f /(5 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />I- l <br />. I, <br /> <br />DEMOLISH <br /> <br /> <br />~ <br />W <br />1:81 <br /> <br />AMP SERVICE c;{t70 0 <br />JJ.'J{JO. ()O Fev,..qc:.tiPA <br />jS~ '-. SCr-vr <br />7,7S,.OO <br />V UATION OF MECHANICAL INSTALLATION i, <br /> <br /> <br />Add~s ~ <br />..ECHANICAL ~~ <br />SIGNATURE _~ <br /> <br />Address Iqa:3 WI fVJemo r/aooA , #(/€. J <br /> <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I I license # I <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111/11111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required anslte. Construction Plans, Stormwater Plans wi Silt Fence installed. <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsllarge 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 onsite, Construction Plans, Stormwater Plans wi Silt 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 />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />. , <br /> <br />t <br /> <br />'- <br /> <br />~ 1:1 <br /> <br />,,-', .i, <br /> <br />J <br /> <br />OTHER <br /> <br />DYES <br /> <br />k81NO <br /> <br />r7i. <f fI (! orwl-ru. f'5b' a !o>.' L <br />~GI N I FEECURRENTI(~/N I ~ <br />license # lfJ3 Ql) 5 ? 'l g d I <br />I r11)rl-vn 6!e/'~/G I <br />I ('! I N I FEE CURRENT ~(! IN I <br />license # I ERaOd lI.~3' I <br />I <br /> <br />~w~ev- <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />,~ e () f1,. d( '?/O/{ ('It.S/ <br />FEE CURRENT Y I N <br /> <br />license # <br /> <br />kZ4L.' 039 7S S' <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />."""'."'...'f...."""....."'...."'........................................................................,............................... <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. (A1C 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 NC Fences (PlotlSurveylFootage) <br /> <br />Driveways-Not over Counter If on pubUc roadways..needs ROW <br />