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<br />tJ'I,j- {tJu-uu~u <br /> <br />\JIlY UI LC;PIIYIIIIII~ I \JIIIIII. I 't-'t"'II_-"'.-" <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Leo f? Dav/ <br />, ~l-{ l;; Ma tA [h {-Ie <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br />13 L/ L/ & Mo 10 {11 ( + ( <br /> <br />I E In era /d Po / "r f <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />1$ /3,000, c, ~ I <br />1$ · ) I <br />. 250, <br />1$ '" J I <br />. 200. , <br />1$ 5" 0 U , 0 (J I <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES <br /> <br />~~~i;i~;."!';~i!i~~~""',"";~~;~"i'q'~~~~~ji;~'~~~';~~:": <br /> <br /> <br />f y/I C ../ <br /> <br />SUBDIVISION <br /> <br />DyJvt-- <br />I PARCEL 10#1 <br />B <br />D <br />D <br /> <br />51 <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />Par ~ f'v1oticl <br /> <br />BUILDING SIZE 1/2 j.. ,~ <6 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 />DESCRIPTION OF WORK <br /> <br /> <br />SQ FOOTAGE <br /> <br />EJ <br /> <br />I LOT # I /3 7 <br />1Jf-2~''Z{ 'O(J'-iO- 60600 -13'101 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D .sIGN D MOVE D <br /> <br />~ OTHER I pr::t ("Ie. t-n 0dJ , <br />D STEEL Cd- OTHER I p1ob(.{0 <br /> <br />DEMOLISH <br /> <br />HEIGHT I <br /> <br />LJ <br />cj <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />D <br /> <br />~ WR.E,C. <br /> <br />[Z] <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <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 />G2tN6/ <br /> <br /> <br />License # I E. F< D()/2 Cj I 0 <br /> <br />l13u1-fev--hLfd fYJHs ,// <br />I rY / N I FEE CURRENT I (!Y N I <br /> <br />License # I 1j-fC600G to <br /> <br />lB(~~~ <br /> <br />PltJ~YJe, .:t (~s. <br />I F~E CURRENT f J / N I <br />License # reA C 0 '-13 9 'f ,? <br /> <br />,/ <br />- <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address License # <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111 <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/ Silt 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 /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1I1111111I111111111111 <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 COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />