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<br />~l:::'-/~U-UULU <br /> <br />L,/[Y 01 "-~f.llIY" 1111::; r-~II I III f'\jJjJlllidllUII <br />Building Department <br /> <br />. u""' ......... IV... ........... <br /> <br />-JOB ADDRESS <br /> <br />Sooo <br /> <br />.same <br />Co#' ~)t. <br /> <br />LOT# <br /> <br />I <br />I <br />I <br />I ~~: ltO, t.j <br />I <br /> <br />.' p) .UJ <br />.,{f t~f <br />1L~ <br /> <br /> <br />Date Receivlld <br />111111111 IIII <br /> <br /> <br />c. Da VI'S <br />?Y. <br /> <br /> <br />P irlnt C''Iy 3T3 "-,,~ ......., I <br /> <br />Owner Phone Number I <br /> <br />- Owner's Name <br /> <br />- -,. ...,~. I ?-." ~ ~hi n <br /> <br />Fee Simple Titleholder Namel am <br /> <br />Fee Simple Titleholder Address I <br /> <br />I <br /> <br />B <br />o <br />o <br />H:rl- l'YIop ..fi k\9IQSS <br />I, ~Q .~OO~~G~!. <br />1$ 1, OO{). b 0 I <br />1$ I <br />1$ I <br /> <br />~ !--. VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING L-.J <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />, . , . , . . . , . . . . . , . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . .. . . . , .. .. . . . .. . . . . . . . . . . . . . . . .. ... ................. ...........'..".....!........,.. , <br /> <br />~BUILDER I " COMPA: I ~ - Deq.J Roo+; r}{j :ffiij, . I <br />SIGNATURE REGISTERED Y / N FEE CURRE Y / <br />Address [ 3o$l. Ucense# Ieee 13'2&'874 I <br />ELECTRICIAN [ COMPANY I <br />SIGNATURE REGISTERED ., Y / N FEE CURRENT L.Y..L..tLJ <br />-- [ ...... 1'0 <br />~~~, [ == "" ~,~ LlliU I~RO'l b ~~\!! <br />[ License # ~ ~~ 0\ 1$~ . . <br /> <br />SUBDIVISION <br /> <br />- WORK PROPOSED <br /> <br />8 <br />~ <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALl' <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />- PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER , <br /> <br />- DESCRIPTION OF WORK <br /> <br />I................... <br /> <br />.0. I" " II . <br /> <br />YDrE &mt'~ ClY~ and -HD::Hf c.oa:t YOof <br /> <br />'.!!. ~~... ...I. ...~~I~~.!....{..~.~.~x.......I....................... <br /> <br />BUILDING SIZE <br /> <br />~D <br />D <br />D <br />D <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />; <br />'. <br /> <br />ONO <br /> <br />Address <br /> <br />MECHANICAL [ <br />SIGNATURE <br /> <br />Address [ <br /> <br />OTHER [ <br />SIGNATURE <br /> <br />Address [ <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />FEE CURRENT <br /> <br /> <br />Y/ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />11'1111111 Till' II r IIII1I r I J 1'111111' II T 11'11111111111' 11111111111 1111111111' III rill' 1II111I111 11111" 111 II r 11I1 ff 1111'111111111 r 111111' I r 111I J I J <br /> <br />License # <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-Q-W Pennit for new construction. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans. Stonnwater Plans w/ Slit Fence installed. <br />SanItary Faclllties & 1 dumpster; Site Work Pennit for subdivislonsllarge projects <br />COMMERCIAL Attacli (3) complete sets of Building Plans plus a Ufe Safety Page; (1) set of Energy Fonns. R-Q-W Pennlt for new construction. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stonnwater Plans w/ Sill Fence Installed. <br />Sanitary Facilities & 1 dumpster. Site Work Pennlt for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for al/ NEW construction. <br />II J 11111111111111 II J 111111111 II 1111111 J 11111111111 II II J 111111111111111111111111 J 11111111111111111111111111111 II 111111111111111 J II f 11111 J II II II Jill <br />Directions: <br />FlII 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 Sewer;; Service .Upgrades NC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br /> <br />