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<br />Fee Simple Titleholder Address I same as at:x>.r~
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<br />Em ~ I' PARCELlD#1 ~'f-~0-;2/- 190ifD-a>OM- J 37D
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<br />d NEW CONSTR r==J ADD/All D ::~INED 0 PROP~~~~AX DCE) DEMOLISH
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<br />U INSTALL D REPAIR
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<br />PROPOSED USE D SFR D COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
<br />
<br />DESCRIPTION OF WORK I RoDm Add i +1 i)Y1 ~ .s he.L
<br />
<br />BUILDING SIZE l/~~X -;~~I SQ FOOTAGE I 33g!/J HEIGHT I
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<br />81:3-780-0020
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<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />JOB ADDRESS
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<br />SUBDIVISION
<br />
<br />WORK PROPOSED
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<br />BUILDING
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />PROGRESS ENERGY
<br />
<br />PLUMBING
<br />
<br />D
<br />
<br />~
<br />
<br />W.R.E.C,
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ROOFING
<br />
<br />D
<br />I
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />
<br />DYES
<br />
<br />~NO
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<br />
<br />Owr;e.r- J...eo f( Da:V/4rlOn
<br />'I 'y / N I FEE CURRENT I Y t:M I
<br />
<br />License # I /J h..
<br />
<br />
<br />~ ~ 'Z~ FEE CURRENT I Y / N
<br />License # I /7 h-
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<br />OtJ)Il&r- /-.e.O R., DrA.Vi.!1non
<br />I Y I N I FEE CURRENT r Y I N '-"
<br />
<br />License # I I? ~
<br />
<br />Y I N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Address License #
<br />11111111111I1111111111111111111111111111I111111I1I1111111I11111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111
<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 />i:il~~~tj~~~':' . , , . . . . . . . . . . . . . . , . . . . . , . , . . . . , . . . . . . . , . . . , . . . . , . . . . . . . . . , , . . . , , , . , . . . , , . . . , , . . . . . . . . . . , , , . . . . . . . . . , , . , , . . . . . . , . . . , . . . . . , . . . . . , . , . . , . I
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<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 Fences (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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