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<br />BUilding uepanmenI
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<br />,6' 12 ());;, ~ ~~
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<br />Owner Phone Number (BJ3)f'J-'S - '7'f'f
<br />Owner Phone Number l(gI~ f g5.- 77 W
<br />Owner Phone Numberr~/3) gY6 - 77'11
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<br />Date Received .
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<br />Owner's Name j). i w s
<br />Owner's Address k5Lf5J ~ CAti-u:l&R iD60 j~~f/Z- I
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<br />Fee Simple Titleholder Namel I
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<br />Fee Simple Titleholder Address I
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<br />~;rvi:~~
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<br />~ NEW CONSTRD CJ ADD/ALT D
<br />INSTALL c=J REPAIR
<br />PROPOSED USE SFR COMM D OTHER
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL
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<br />DESCRIPTION OF WORK ~lJ LJI_iUf:.t ~T1 61>-"5aJlt _
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<br />BUILDING SIZE I ~ I SQ FOOTAGE _ _ ~ _ HEIGHT I I
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<br />' , ' , , , , , . , , , , , , , , , , .. , , t ' , , , , , , , . , .. , , I' , , , , , , , . , . , , , , , , , , , , , , . ; , , .. . , , , , , , , , .. , , , , , , , , , , , , , .. , , , , , , ~ , , , , , , , . , , , , , , , , , , , , . . , , , , , , , , , , , , , , , I , , . , , ! 1
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<br />o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
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<br />o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
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<br />~ PLUMBING 1$ 4 Of), -- I
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<br />o MECHANICAL 1$ I
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<br />o GAS 0 ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
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<br />far) ... I LOT# ~/a
<br />PARCEL 10#1 tJ'I-cJ& - f) I - t:Q.pO - tX:f)c() .- CCO<.O
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />SIGN
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<br />o
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<br />MOVE
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<br />D
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<br />DEMOLISH
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<br />':0 OTHER IIJll' /Cf't/Fyl
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<br />D
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<br />W.R.E.C,
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY 0
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />, II' I' , I' , , , , , , , , I' I . , , I I' I I I' , I r , .' , , , I' , ' t I , . , I ' I' , .. ,., " , .' II' , I . I' , I' , .' I' , , .. , ' , " I' .' , .' , , , . 1 ' , ' I II , I , II' , I " I' , , , , II , I' " I' 1 ' , "" .. I . , ! ..
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />FEE CURRENT
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<br />Address
<br />
<br />Y/N
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<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
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<br />:~::'~~E I I
<br />Addre" 11m,,> w {/:. /)f!Bd \Jf;rt Il'IJ <l!,ll,!i., '1 ijU 10
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<br />MECHANICAL COMPANY
<br />SIGNATURE REGISTERED
<br />
<br />Address I
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<br />OTHER I
<br />SIGNATURE
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<br />Address I
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<br />License #
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<br />COMPANY
<br />REGISTERED
<br />
<br />I Y I N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
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<br />1111,1111111111111111111,.111,1111,1111111111111111111I11111I1III111111111111I111I1111111II111I1111II11111111/1111111111,.11,11111,.1111111111111,
<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) complete sets of Building Plans plus a Life Safety Page; (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 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 />1II111I111111111111111111111111111111111I11111I11111111111111II111II111111I1111111111111I11111111111111111111IIIIIIIIIIIIIIIIIIIIillllllllllllllll
<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)
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<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
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<br />License #
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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