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<br />o I.)./I)U-VULV
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<br />Building Department
<br />
<br />Date Received
<br />
<br />
<br />~er Phone Number
<br />
<br />C~~~i!6nt:mber I
<br />rqD04 -~Il)&l...
<br />
<br />Owner Phone Number I
<br />
<br />Owner's Name
<br />
<br />Fee Simple Titleholder Address I IV {A.
<br />
<br />2e.ph'-j ('hi lieS, f=" L "=\3'5 L{ I I
<br />
<br />PARCELID#13~ -0l5-;lt -COte-e;qYOD-OCC'()
<br />(OBTAINED FROM PROPERTY TAX NOnCE)
<br />o MOVE D
<br />
<br />LOT #
<br />
<br />SUBDIVISION
<br />
<br />I, 30 1.0
<br />I
<br />
<br />JOB ADDRESS
<br />
<br />WORK PROPOSED
<br />
<br />SIGN
<br />
<br />DEMOLISH
<br />
<br />OTHER I
<br />
<br />BUILDING SIZE
<br />
<br />....,......,........
<br />
<br />......
<br />
<br />1$ -!3~ 2,,0. ~ I
<br />o ELECTRICAL 1$ itJ, 1ftJ"d. or) I
<br />
<br />/
<br />o PLUMBING 1$ I
<br />f../,;.OO. UC) .
<br />/
<br />o MECHANICAL 1$" r. I
<br />;:J.JvOtJ. '0
<br />o GAS D ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />
<br />o
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W,R,E.C,
<br />
<br />~OL
<br />
<br />VALUATION OF MECHANICAL INSTAUATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />Addres
<br />
<br />)~ ~ ELECTRICIAN I
<br />,I' SIGNATURE .
<br />
<br />Address I
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Lr..L!:U
<br />
<br />License #
<br />
<br />Il\r--..... AC?,I~4."'c", d- ~ J..J...('
<br />I YI N I FEE CURRENT YIN
<br />License # I c.Pc- N:l.S (.d.. 7
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />
<br />Address
<br />1'\\
<br />?-1 MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YIN
<br />
<br />FEE CURRENT
<br />
<br />Lr..L!:U
<br />
<br />Address
<br />
<br />License #
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YIN
<br />
<br />FEE CURRENT
<br />
<br />Lr..L!:U
<br />
<br />Address License #
<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) worklng days after submittal date, Required onslte, Construction Plans, Stormwater Plans wi Slit Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsJIarge 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 onslte, Conslrucllon Plans, Stormwater Plans wi 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) Sf!ts of Engineered Plans,
<br />-"PROPERTY SURVEY required for all NEW conslrucllon,
<br />
<br />i:il~~~ii~~~': . . . . , , , , , , , . , , , , , , , . , . , . , , . , , , . , , . , , . .. . , . , . , . , . ..
<br />
<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 1he contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br />
<br />OVER THE COUNTER PERMmlNG (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC
<br />
<br />.................
<br />
<br />.......
<br />
<br />........
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<br />.......
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<br />......
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<br />...........
<br />
<br />Fences (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter If on public roadways..needs ROW
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