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<br />o 1.)-/ oV-VVt:.v <br /> <br />\..IllY VI L-Ct-lll,llllll..;J I vllllll. I 't't"I_-"I_11 <br />Building Department <br /> <br /> <br />Date.Received <br /> <br />Owner's Name <br /> <br />Owner Phone Number 7 ?l3 - 3'17 <br /> <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />S-freef <br /> <br />LOT# <br /> <br />I {p2$> <br /> <br />PARCELlD#lz4 - 2(P- 21- ()OOO -00100 - 6.5170 <br />(OBTAINED FROM PROPERTY TAX NOTICE) b0~a <br />ADD/ALTO SIGN D MOVE 0 DEMOLISH <br />REPAIR <br />COMM [Z] <br />FRAME 0 <br /> <br />/2 '14 Z <br /> <br />1111111111111111111111111'11111111111111111111111111111111111111111111111111111111111111111111111111111111111I"1""1111111111111111111I"1111111I111 <br /> <br />D BUILDING 1$ Jt; 000. 0 b <br />D ELECTRICAL 1$ GOO. Co 0 <br />D PLUMBING 1$ 260. 00 <br />D MECHANICAL 1$ 760. 0 () <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ <br /> <br />BUILDING SIZE <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />STEEL <br /> <br />I par ~ l'Ylode\ <br />D OTHER I <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL COINACTlON <br />AMP SERVICE ISO PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />OTHER <br /> <br />OCft' ('\. (J OA-d' <br />TI~' -~- <br />all.s<" - J <br />5\~/ <br />p\ -r ,.:y'K\.Jl.-- <br />'\'5 <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <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 />DYES <br /> <br />czfNO <br /> <br />ISu ffev-hl.) r1 (VI HS <br />I Y / N I FEE CURRENT . I Y / N I <br /> <br />License # I / HOODOO goo <br /> <br />Ie rondell <br />I Y / N I FEE CURRENT I Y / N I <br /> <br />License # I ~ ROO/'Z9/D <br /> <br />I ~U-fi(/leld fV}HJ <br />Y / N I FEE CURRENT I Y / N I <br /> <br />License # 11/-100000 80 <br /> <br />I Bo.hr's P/oPCif>e f- ~as <br />I Y / N I FEE CURRENT Y / N I <br /> <br />License # I CA C 0'13 9'1 f? <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111 " 1111111111111111111 " 1 " 11111111111111111111111111111 " 1111111111111111111111 <br />RESIDENTIAL 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 onsite, Construction Plans, Stormwater Plans w/ Sill Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL 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 w/ Silt 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 />11111111111111111111111111111111111111111111111111111111111111 , 11111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />