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<br />Buildiny Depai ,:nent
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<br />Owner's Name SI GGfl-tO
<br />Owner's Address I J 7'11C!
<br />Fee Simple Titleholder NamJ
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<br />Ycli?;(L-
<br />(A;7lC~ IIvt/
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<br />
<br />Date Received
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
<br />
<br />I ') 7Vltf
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<br />LOT t#
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<br />I O{<;O
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<br />SUBDIVISION
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<br />~E~ /ll/f7lJeYL-- I PARCELID#I/~ U l-I (JIW t;OOOO tJo)tJ
<br />(OBTAINED FROM PROPERTY TAX NOnCE)
<br />SIGN D MOVE 0
<br />
<br />E3 . NEW CONSTR r=J' ADD/ALT 0
<br />INSTALL D REPAIR
<br />PROPOSED USE @" SFR 0 COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION 0 BLOCK ~ FRAME 0 STEEL D
<br />
<br />DESCRIPTIONOFWORK 10 SIzE ~ 5(~ ~~ lAJrN1JCNVS
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<br />o BUILDING 1$ 3'1/0.. 0() I VALUATION OF TOTAL CONSTRUCTION
<br />o ELECTRICAL 1$ I' AMP SERVICE 0 PROGRESS ENERGY
<br />
<br />o PLUMBING 1$ I
<br />
<br />o MECHANICAL 1$ I
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<br />o GAS 0 ROOFING 0
<br />FINISHED FLOOR ELEVATIONS I I
<br />
<br />DEMOLIsH
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I
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<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />D
<br />
<br />~oJ
<br />
<br />W.RE.C,
<br />
<br />SPECIALTY 0
<br />
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />BUILDER ..# / //'/
<br />SIGNATURE /' {,,/ ..e;t:/..
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<br />Address 11/53C, f'jtVfw1ID Pit-
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<br />ELECTRICIAN I,
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I~~~(~~I
<br />
<br />License # I CtJL 05 ~ 06 )
<br />
<br />ODtP4~K 3J~
<br />
<br />I
<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 />YI N FEE CURRENT
<br /> License #
<br />
<br />Y/N
<br />
<br /> COMPANY
<br /> REGISTERED
<br />I COMPANY
<br />REGISTERED
<br />I COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />111I , I , , III1 ' , II , , III , ' II , III , ' , , 11I1I1111 " 11I1I1 ' 11I1I111 " 111111111111 ' . 111111111111111111111111111111111111111111111111111111111111II1I111I11I
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns
<br />Minimum ten (10) working days after submittal date. Required onslle, ConstrucUon Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) liet of Energy Fonns.
<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) sets of Engineered Plans.
<br />....PROPERTy SURVEY required for ali NEW construction. ,
<br />1111111111111111111111111111111111111111111.11111101111', ,111111111. ,11111,111111111111111 i i i 1111 i II i I111 i I i I1111 i I i I111 i 1111 i III i 11II1 i i i i i II i II i i
<br />Directions:
<br />Fill out application completely.
<br />Owner & Contractor sIgn back of appllcaUon, notarized
<br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
<br />
<br />Agent (for the contractor) orPower of Altorney (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 AlC Driveways Fences (PloUSurvey/Footage)
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