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<br />Date Receive~
<br />
<br />
<br />BUilding uepartmem
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<br />I /",-)
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<br />
<br />l I I 115
<br />Owner's Address li)4:~q O;aLLfl1121lt Qth ~,lff1 (:1-11 IDC{) -r;~-4
<br />Fee Simple Titleholder Namel I
<br />
<br />Owner's Name
<br />
<br />WORK PROPOSED
<br />
<br />Fee Simple Titleholder Address I ;
<br />
<br />
<br />~~~ ~ !~!'D#I04-~qlN~D-i03~- ::~N/3
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />QJ NEW CONSTR c=J ADD/ALT D SIGN 0 MOVE D
<br />!::B INSTALL D REPAIR
<br />PROPOSED USE ~ SFR D. COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
<br />
<br />DESCR'PTlON OF WORK Ilf)::ili:!lf (1Vui:p t~ L ~~ l "
<br />
<br />BUILDING SIZE I SQ FOOTAGE L I HEIGHT I
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />
<br />STEEL
<br />
<br />I
<br />f8J
<br />
<br />OTHER I ((~l6 i1,tON
<br />
<br />I I I I I I I I . I I I . . I I I . . . I '.' I I I . I I I . . I I I I . I I , I . , . . I I . I . I . I I . I I . I . I . . . I I I I I . I I I I . . . , , . I . . I I . . . I I I . . I I I I . . II I I I . . . I . I I I I . . . I I I I I . I I I I I I I . I I . , 1'1 1" . I I . I I
<br />
<br />D BUILDING 1$
<br />D ELECTRICAL 1$
<br />~ PLUMBING 1$
<br />D MECHANICAL 1$
<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />qt().
<br />
<br />-
<br />
<br />1
<br />1
<br />I
<br />I
<br />D
<br />I
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ROOFING
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
<br />
<br />DNO
<br />
<br />III I I I I 1 . I . , , H IIIII I . I I , I I I . . . , , , , I , IIII I I " IIII II' . I , I , I , " III " III , I " I I I II . . . .. I I I I' , I I . . I I . , , , " I , III1II11III , " I , . . II , , , . I , , , I , , I , I , 1 , II , , II
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Address
<br />
<br />License #
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address License #
<br />
<br />111111111111111 " 11111111111111111111111111111111111111111111111111111111111 " 1111111111111111111111111111111111111111111111111111111111111111111 f
<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 subdivisionsllarge 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 />Mirilmum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Pennit 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 />111111111111 " 11111111111111111111111111111 f 11111111111 f 11111111111111111111111111111111111111111111111111111111111111111II111111 j 111111111111111 j
<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 />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Fences (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
<br />'"
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