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<br />Owner's Name <br /> <br /> <br />vlLY UI i..t:f.IIY"IIII::i ,t:11111 L t\f.lf.lIIl;dLIUII <br />Building Department <br /> <br />I etA-V I ..r I Uv-vu.:.. I <br /> <br />v . ...r I uv-vv...u <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Address I <br /> <br />I'~ \U>\..\~ \. ~-1\\ ~~p ~ <br /> <br />i <br /> <br />! <br />.'*-C\.\ ~ I LOT# I ~ I <br />It ~~ \\j\-CC'f\ .1 . PARCELID#I~~"""b~-~~~~)-~'l31 <br />~. . (OBTAINED FROM PROPERTY TAX NOTICE) <br />ADD/AL T D SIGN D MOVE D DEMOLISH <br />REPAIR <br />o COMM D OTHER I 'C\\\. ~\'l.)rf "\ <br />o FRAME D STEEL D OTHER I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br />Owner Phone Numb~r I <br /> <br />Ow..'.Add.... h'-~~'U><~~D: <br /> <br />Fee Slmllle'rltleholder Nam <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~MC:W CONSTR <br />~NSTALL <br />D SFR <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br /> <br />HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />~'u.\\S .\\ <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />o GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY . D W~:.f <br />W\ €.. ~"'~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER C <br />SIGNATURE <br /> <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNa <br />/\) <br /> <br />ELECTRICI <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERE~ / N <br />- ,'-0 ~ LIcense # ~~\~C~ I <br /> <br />I ~ ~ l-~~~~ \l'- <br />. I . Y IN' I --FEE CURRENT . T Y / N <br /> <br />License # I \~-, <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />II 1111111 II , , , I111111 11 r I , III ,III , 11111.1 ! 1111111. 11, , ,~.II ~ 111111 1111111, III ~ 1111 1,1 1,111 I III , , III 111111 , , , , , , , . 111111 I I I I , I , I I I I , , , , I I I I I II , I 1 I I I I I , I I I 1 I <br />RESIDENTIAL Attach (2) Plot Plans{(2) seta of Building Plans; (1) set of Energy FOnTls <br />Minimum ten (10) woridng day~ after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL . Attach (3) sets of Building Plans; (1) ..t of Energy FOnTls. <br />MinImum ten (10) working days aftersubmfttal date. Required onslte. Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance, <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY.SURVEY required for all NEW construction. <br />I! . Ill! J I! ~ 111!lllll. ~ "'.'!I. 11.'111,... '.'111"'~. II! III j ~ I ~'~., 'JJ.l.l.l' II ii'. !I'" __t'III".""!"'.'!II'!'!!'!!!I!!!II!. !!llll j 'Iou I1I1I1II , f <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. (A1C 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 AJC Driveways Fences (Plot/Survey/Footage) <br />