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<br />lJ1J-tlJU-UU'<U <br /> <br />VI'1 v' -""',.....J......-. _.....~ <br />Building Department <br /> <br /> <br /> <br />Date Received .$ D ~ <br /> <br />Owner's Name Z L 'D ::r N C. <br />Owner's Address I b ~ /5 DB i R y f<c/I , <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 />5 <br /> <br />Fee Simple Titleholder Address I <br /> <br />13<0\\3 \~Ly ~nrJ 0+ I LOT# I <br />k:::k.Olr/ps'fotvt OAt< sl PARCELID#loJ-.;7G-,JI-O~CJ-eJ~- <90 C; 0 <br />(OaT AINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />~ <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION ~ <br /> <br />DESCRIPTION OF WORK -I <br /> <br />BUILDING SIZE I r; '(X '7 Y" <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />o GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />~ <br />o <br />~ <br />c [) U. P I e.,,/, <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />SQ FOOTAGE <br /> <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />II I' Cf' (( <br />HEIGHT 7 <br /> <br />Aa..0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />BUILDING <br /> <br />~/ ELECTRICAL <br /> <br />cg// PLUMBING <br /> <br />~ECHANICAL <br /> <br />AMP SERVICE <br />~ <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />11111111'1111111111111111111111111 Jill' 11111111111111111' IIIII , 11111' IIIII111111111 I II 1111111111111111111111111' 11111111' 111111111 nil II III 11111 II <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />OTHER <br />DYES <br /> <br />~t'-.;:,~ \\."'\~\~~"- ~ <br />I~N I FEE CURRENT ~ <br /> <br />License # I ~ 't'-,- \4~<..\""~ <br /> <br />1.6'41//2:> ..4~~A_:r. G.d.s LA/; .:L/Vc-, <br />I(-:YLN I FEEtURRENT ~ <br /> <br />License # Ie"" coo/' .:19 Y ~ <br /> <br />YIN <br /> <br />L:U.!!-J <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permll for new construction, <br />Minimum ten (10) working days after submittal date. Required onslte. Construction Plans, Stormwater Plans wi Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlslonsllarge projects <br />COMMERCIAt. 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 onslte, 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />---PROPERTY SURVEY required for all NEW construction_ <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (AlC 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 CClUNTER PERMmlNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />