Laserfiche WebLink
<br />d Ij-/dU-UULl.' <br /> <br />Gay or Lepnyrnllls ~ermlt Application .x /1 Ii 1/ <br />Building Department -.:.l,-f ., vI <br /> <br />rax-d 'j- r dU-UULI <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number ~ <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I <br />13~-U <br /> <br />. c::- <br />l\~ <br />Owner's Address 13lO,CJ \ ~~ ~ \\.Lf'<\ \\\1 .~ <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Owner's Name <br /> <br />SUBDIVISION <br /> <br />Fee Simple Titleholder Address I <br /> <br />I'~\~a\ ~~~)'\~ ~~~_ LOT # <br />~~\ \'\'){\CC,\\\ .1 PARCEL 10#1 ?::>"-\~~~\J:::x::>\\:)-~ -(,s~311 <br />~<. ~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />EW CONSTR < AD DIAL T D SIGN 0 MOVE D DEMOLISH <br />INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I ,-\ \.....')r-(' <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 OTHER I <br /> <br />DESCRIPTION OF WORK I ~"\.... "l-:~ '\ <br /> <br />I <br />I~ ~~ ~ ,~'-; ~ <br />1$ . I <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE <br /> <br /> <br />HEIGHT I <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C< <br /> <br />D <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />~ <br />I ~~\...o <br /> <br />COMPANY I <br />REGISTERED Y I N <br /> <br />License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />~m~,\~.1 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED Y I N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SiGNATURE <br /> <br />COMPANY <br />REGISTERED Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />III , III , , II "II III 1111 I111111111111 " 1111II11111 " I " 11111111111111111< " II11111111111 " I1111 " 11111 " 111I11 " I 1II111111111111111111111111111 III II <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PeRMIT Attach (2) set~' of F.nglneered Plans. <br />....PROPERTY SURVEY required for all NEW con&tructlon. <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 II I II IIIII I . I I I I I I I I I I I I ~ I II 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 I I 1.1 I I I I I I I II I I J I &1 I II I I i ~ ~ I ~ I I I I I I I I I J I I I i I J I I I I I I I I I I I <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 Attomey (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 SelVice Upgrades NC Driveways Fences (PloUSulVey/Footage) <br />