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Build'. . a lment . (0i i Date Received I I V � 3 , gZ — N C� I L Phone Contact 4 Permittin r 2 Owner's Name I: L( „ ' • `, . 4Q Qv) j 09K- Owner Phone Number • I � ��i ? b 0 J Owner's Address 6•43c) a_ $f.i1 Jl 5 bc/k_ f 1 Owner Phone Number Fee Simple Titleholder Name' Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS r r f Q__ LOT # 33 SUBDIVISION I3 UkY () k -S I PARCEL ID# 53 2 - - 24 "O ( 60 -- C_XQcr) — Q Ci (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I NEW CONSTR f I ADD /ALT ,.,I 1 SIGN 1 1 MOVE I DEMOLISH INSTALL REPAIR t� PROPOSED USE I)I SFR I I COMM I 1 OTHER I TYPE OF CONSTRUCTION IX BLOCK 1 I FRAME I I STEEL n OTHER I DESCRIPTION OF WORK ! ^r00 W C � 1 r& .Q.S BUILDING SIZE 1 1 SQ FOOTAGE I 3140 1 HEIGHT I kij BUILDING I C ir 00' - VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY El W.R.E.C. I 1 PLUMBING $ 4r6qq I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION • I I GAS 13;4 ROOFING 1 1 SPECIALTY I I OTHER - FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I )YES 1 - IN() • BUILDER COMPANY 1 SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I Address I Ucense # I ELECTRICIAN COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I Address I 1 - License # I PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # I MECHANICAL COMPANY I • SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address ( • 1 License # I SIG 1i COMPANY ( 1 K a. odrtiz 6 Tn� SIG " 1 4110 REGISTERED Y/ N 111 FEE CURRENT I Y/ N I r Address 13 6L t t SP ! k ( S 3' r L I (.�/ Ucense # I C' -CC ( 2- S" RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL. Attach (3) sets of Building Plans; (1) set of Energy Forms. R -O-W Permit for new construction. Minimum ten (10) working days after submittal date.. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects_ All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be somr nne with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PIot/Survey /Footage) Driveways -Not over Counter If on public roadways..needs ROW