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<br />Date Received <br /> <br /> <br />\..IllY UI L..l::fJIIY'IIIIIO rl::IIIIIl/\fJfJlll."dllUII <br />Building Department <br /> <br />Owner'. Name \ \ <br /> <br />Own.'.Add.... I\~ "W~~~ ,ex <br /> <br />Fee Simple Titleholder Nam _ <br /> <br />Owner Phone Number <br />Owner Phone Number I <br /> <br />Owner Phone Numb~r I <br /> <br />o <br />o <br />D <br /> <br />Fee Simple Titleholder Addre.. I I <br /> <br /> <br />i;~~~~l'p~~:'~~~_~\~ -Q~~i <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~-NEWCONSTR ~DD/ALT 0 SIGN 0 MOVE D <br />~iNSTALL Lj REPAIR <br />PROPOSED USE SFR COMM 0 ~~\C".t. ~. <br />TYPE OF CONSTRUCTION CK ME 0 OTHER I <br /> <br />DESCRIPTION OF WORK 3'\... '\ \- . <br /> <br />BUILDING SIZE I I SQFOOTAGE HEIGHT I . I <br /> <br />~..... .................................,... r" ~...... I.....................................:............. ... . ...,."". , , , " " " , I , I I I I I I <br /> <br />/UILDING I~\ ~~ .\.~. I VALUATION OF TOTAL CONSTRUCTION <br /> <br />c::r ELECTRICAL 1$/ AMP SERVICE D PROGRESS ENERGY 0 WR.E.C <br />.. ~~Q...~. <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNa <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />~~~ License # t:S:~.s:f)\\~~ <br /> <br />I ~/~r-\~~}-I V/N <br /> <br />License # I \~ l <br /> <br />ELECTRICIA <br />SIGNATURE <br /> <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT <br />Address License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT <br />Address I License # <br />OTHER I I COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT <br />Addre.. I License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />" III " I " I " " I 11111 1 . I I r I nIl 11111111 111111111111.1111111111111111 . II ~ , I .. 1.1 " II' , III II " " " " I II I , I I I III " I " I III 11 I I 1 I I II11 II I' I I I I I I 1 ' I I I I I 1 I <br />RESIDENTIAL Attach (2) Plot Plans; (2) seta ofBulld/rig Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onslte. Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL . Attach (3) seta of Building Plans; (1) .et of Energy Forms. <br />Minimum ten (i0) working days after submittal date. RequIred onsfte, Construction Plans, Sanitary FacllltJes & 1 dumpster <br />All commercial requirements mUlt m..t compllanc.. <br />SIGN PERMIT Attach (2) seta of Engineered Plans. <br />....PROPERTY.SURVEY required for all NEW construction. <br /> <br />111..11111.111.1..11.11,1111111111..1.1111111.1.11.11.11..1..1,.1111..1.11.11111.111111,11.1111111111.1111.11.1111111111111111111111111111111//,,/ <br />DIrection.: <br />Fill out appflcatJon completely. <br />Owner & Contractor sign back of appllcatJon, notarized <br />If over $2500, 8 Notice of Commencement I. required. (AlC upgrade. 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 AppllcatJon Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (PloVSurvey/Footage) <br />