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�,�j_/L�4��- �o�-, ���.b� . �,�-- �,�., -�^ y ,�r '_ "='���! <br /> ` ��%;,,�i-, �, , � /� ''"- ,;, ' ; �;_.' � � <br /> Fee Simple Titleholder Name l f�"���r-ri "PS I Owner Phone Number L_ <br /> Fee Simple Titleholder Address � o�( �� �b�'S� N2yl '�1 d:��.� � � �� ���6 ^"q,'j";f c� <br /> JOB ADDRESS � I k/ � Z e L� LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD� � SIGN � � DEMOLISH <br /> INSTALL PAIR <br /> PROPOSED USE � SFR �COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK G� 7'•, 1I�'� �-/l�I�I O'� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> T1� 1'TTITT T <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E.0 <br /> OPLUMBING $ `��G-�� N�� .� <br /> `.—___'�'_� <br /> �MECHANICAL $ L/D�• O� VALUATION OF MECHANICAL INSTALLATION �GJ(s <br /> 7 �t f ( <br /> ~� � <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> �"��` ` F-:-r�.--r•:�-+--^�--:--'-1-i-i-' . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL ,i � � J COMPANY ��� ����y7�� `�"�v���4 <br /> SIGNATURE '� REGISTERED Y N FEE CURRE� Y N <br /> Address ��l / 4r ICJ/� ���M � ,fa 7'f� License# ��C � S 7 S,�(� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 <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 w/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 w!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 /> ��1..1�'.-+' 'T'��+'�'��4�1--��'.�'.�0�'...C...'..'—L• `.—'. '�'+�-:�I..��'.�+' '�w-:.��'� . <br /> Directions: <br /> Fill out application completely <br />