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<br />8'13-780-0020 <br /> <br /> <br />Date Received <br /> <br /> <br />Owner's Name ~ E <br /> <br />Own~'SA.~'.SS r 11tfE ~=-dR- -nT/vel W~ <br /> <br />Fee Simple Titleholder Name _ ~ __ <br /> <br />Fee Simple Titleholder Address I 5a. me <br /> <br /> <br />:Z~ ~~f~ ~t~:1 ;;~:MI)-l;;~O~66 <br /> <br />(OeT AINED FROM PROPERTY TAX NOTICE) <br />d NEW CONSTR D ADD/AL T D SIGN D MOVE D <br />U INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I 11-/ tJ f111 n ILfYL (;-10 ~ rOT> rY1 <br /> <br />J..:}..' X- / t/ I SQ FOOTAGE I /J..;).{) P <br /> <br />Owner Phone Number <br /> <br />~~hon. Numbo' I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br /> <br /> BUILDING 1$ II) 7(;3 QE. I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL C01N7'ON <br />AMP SERVICE PROGRESS ENERGY <br /> <br />D <br /> <br />W,R,E,C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br />)() <br /> <br />I~~~ <br /> <br />OTH~ <br />IJ2JYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />A/umll1~ ~(~ <br />FEE CURRENT rJ N <br /> <br />I C-6c. D^p D 77 <br /> <br />Address <br /> <br />License # <br /> <br />Bedrc <br />I ~ FEE CURRENT 1f""'U N I <br />license # leC!. 13~/3ff.;;; <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT Y/N <br />r- OO I license # I <br />~. I~r~ ,fl~f!s~~ts <br /> COMPANY <br /> REGISTERED <br /> license # I ~It ~ 6 Lf '3 CJ t{ <if <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT Y/N <br /> license # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 wI 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 onsile, Construction Plans, Stormwater Plans w/ 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 />II111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 SeIVice Upgrades NC Fences (PloIlSuIVey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />