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<br />Date Rec;,eive~ <br /> <br /> <br />Building uepartmem <br /> <br />V <br />Owner's Address J~ fihlIJWtt! (1JJPJAi'J \.rt f) 1050 7lJ1{:.d:; <br />Fee Simple Titleholder Namel <br /> <br />0'0 <br />f6-7 <br />Owner Phone Number(81.3> t~8 -77 # <br />Owner Phone Number ~~ I ~ g-gr!3 -7 rl '-/4' <br /> <br />I <br />I <br />I <br />I/b,0 I <br />1 <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br /> <br />= ~~ P~D#IO'I~~-~/-iQ'd;-~ 01:= <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />I' NEW CONSTRI c=Jo I ADD/AU Dol I SIGN D MOVED <br />INSTALL 0 REPAIR <br />PROPOSED USE SFR COMM OTHER I <br />TYPE OF CONSTRUCTION BLOCK FRAME STEEL,.g] OTHER <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />1111111....11..'1.'...,....11...'..'111'..1111...1.....111..1111.11...1111...111..."...111'.1111....1111...1"'11111""11'11"11111111""""111 <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C, <br />~ PLUMBING 1$ qDD. --- I <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />. I , I I , I , I , III I I I . n II' I . I I I I I . I It' I , , III I I , . 1 flllll , II , III It 11111' . I ,. . till III' I I .. I I I I' , .. . . , I , 11111' . I r . I . III " " 11111 , 1111 I I I I I I I It I , I I I I I I I I , I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Addre,'ss il'fayj ~Pmd~'fn1j#d{, Fe r to I <br /> <br />MECHANICAL 'COMPANY <br />SIGNATURE ' REGISTERED <br /> <br />Address I I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <br /> <br />11I1I1111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 />III " 1111111111 J 1111I1111111111111111 J 1I11 " 11111111111111 " 11111I11 " I11111 " I11111 " 11111I111 " " 1111111 " 11111111 " 111111111 " I " I " 11111111111 <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 NC <br /> <br />COMMERCIA.L <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />