Fillable RESIDENTIAL COMMERCIAL AMENDED (Mecklenburg County)

Fill Online, Printable, Fillable, Blank RESIDENTIAL COMMERCIAL AMENDED (Mecklenburg County) Form

Use Fill to complete blank online MECKLENBURG COUNTY (NC) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

RESIDENTIAL COMMERCIAL AMENDED (Mecklenburg County)

On average this form takes 34 minutes to complete

The RESIDENTIAL COMMERCIAL AMENDED (Mecklenburg County) form is 2 pages long and contains:

  • 0 signatures
  • 51 check-boxes
  • 112 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Mecklenburg County

BROWSE MECKLENBURG COUNTY (NC) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
DIRECTION PROJECT STREET NAME
AVE,RD,ST,etc.
SUITE #(s) or UNIT#(s)
TAX JURISDICTION
PROJECT #
OWNER
CITY
STATE
ZIP CODE
PHONE #
TITLE INSURANCE COMPANY / LIEN AGENT NAME
Projects $30,000 >
must apply for a lien agent @
https://www.liensnc.com Homeowners are Exempt
PERMIT TYPE:
19 W Hargett ST Unit: 507, Raleigh, North
Carolina 27601 PHONE# (888)-690-7384 FAX #
(919) 489-5231 EMAIL:
SUPPORT@LIENSNC.COM
BUILDING PERMIT APPLICATION
RESIDENTIAL COMMERCIAL AMENDED
PROJECT STREET#
N=North E= East
S=South W=West
LIEN AGENT ENTRY #
LIEN AGENT PHYSICAL ADDRESS / MAILING ADDRESS
PROPERTY USE:
TAX PARCEL #
NEW HEATED
TOTAL # UNITS
MULTI-FAMILY:
# Handicap Units
CONVERT UNHEATED to HEATED
RENOVATE EXISTING SPACE
SERVICES DATA
SERVICE
# CONNECTIONS 120 VOLTS
_____ CENTRAL A/C
_____ CHIMNEY
_____ GAS PACK
_____ PRE-FAB FIREPLACE
_____ EXHAUST/VENTILATION
SITE DATA
PROJECT/SUBDIVISION NAME
PROJECT DESCRIPTION/JOB TITLE:
(if mobile home include Yr./Make/Serial #)
# of STORIES
Project
Square
Footage
WILL ADDITION / UPFIT CREATE / EXPAND A BEDROOM YES NO
DECK(s)
NEW UNHEATED
PROJECT DATA
# BEDROOMS TOTAL # ROOMS
# BATHS
ELECTRICAL POWER COMPANY
# TOTAL AMPS
# CIRCUITS
TYPE OF WORK:
EXPANDED FOOTPRINT
SHELL
BASEME
NT
SPRINKLER SYSTEM
FULL DEMO
ATTACHED GARRAGE
ATTACHED CARPORT
MASONRY FIREPLACE
MECHANICAL GAS COMPANY
# CONNECTIONS OVER 120 VOLTS
# GAS CONNECTIONS
# GAS APPLIANCES
_____ GAS PIPING
_____ ELECT CEILING
_____ ELECT. FURNACE
_____ STOVE
_____ GAS FURNACE
_____ OIL FURNACE / STEAM
_____ HEAT PUMP
_____ ELECT BASEBRD
_____ REFRIGERATION ONLY
_____ OTHER:
# PLUMBING FIXTURES (Sink, Water Closet, etc.)
# APPLIANCES (Dishwasher, Water Heater, etc.)
ZONING
JURISDICTION
MAP # R/W
SPECIAL FLOOD PLAIN FLOOD ELEVATION FIRE DISTRICT
LOT
FRONT SHEET (if different)
MINIMUM SETBACKS:
FRONT
LEFT SIDE RIGHT S
IDE
REAR
REQ. PARKING
APR'D
ZONING DATA
ADD DETAILED SCOPE OF WORK HERE:
JOB#
USDC#
PURPOSE
OCC.TYPE
CONST
NO
CONTRACT COST
NEAREST $100
ELECTRICAL
CITY/STATE
ZIP CODE
CONTRACT COST
NEAREST $100
MECHANICAL
CITY/STATE
CONTRACT COST
NEAREST $100
PLUMBING
CITY/STATE
CITY/STATE
Fast Track YES NO TOTAL ESTIMATED PROJECT COST FOR FAST TRACK OR MODULAR
POINT OF CONTACT NAME AND PHONE NUMBER FOR PROJECT
METHOD OF PAYMENT
NOTE: Master Contract Cost
less equipment over $500,000.
PHONE #
ADDRESS
CITY/STATE
ZIP CODE
Does at least one (1) piece of equipment have a cost of over $500,000.? If YES see
instructions below. If NO Include all equipment in the construction cost.
ELEC ACCOUNT/ID#
PHONE #
LICENSE #
LICENSE #
M
ECH ACCOUNT/ID#
PLUMB ACCOUNT/ID#
PHONE #
LICENSE #
C/D PLANS
& PLACARD
YES NO A PROCESSING FEE WILL BE CHARGED FOR THIS PROJECT
THE UNDERSIGNED HEREBY CERTIFIES THAT HE/SHE IS EITHER THE OWNER OR THE AUTHORIZED AGENT OF THE OWNER AND HEREBY MAKES APPLICATION FOR
PERMIT AND INSPECTION OF WORK DESCRIBED AND AGREES TO COMPLY WITH ALL APPLICABLE LAWS REGULATING THE WORK.
APPLICANT'S SIGNATURE
DATE
PRINT APPLICANT'S NAME
ADD ADDITIONAL SUITES/UNITS HERE:
MECKLENBURG COUNTY
LAND USE & ENVIRO
NMENTAL SERVICES
2145 SUTTLE AVENUE
CHARLOTTE
, NC 28208 (980) 314-2633
CONTRACTOR LIC #
CONTRACT COST NE
AREST $100
BUILDING
G
E
N
E
R
A
L
C
O
N
T
R
A
C
T
O
R
o
r
ACCOUNT HOLDER
(s
):
N
a
m
e
/
A
d
d
r
e
s
s
a
s
A
p
p
e
a
r
s
o
n
L
i
c
e
n
s
e
New or
Existing Water Sewer
PUBLIC INDIVIDUAL METER (CHARLOTTE WATER)
Well
Septic
Well
Septic
UTILITIES check box
Sewer
Well Septic
SUBTRADE(s) and ARCHITECT/ENGINEER DATA
HOLDS
RTAP
VALDATED BY
OTHER FEES $
TOTAL FEES $
PHONE #
ZIP CODE
ZIP CODE
ZIP CODE
PHONE #
CASH/
CHECK
BOND
ACCOUNT
HOMEOWNER
ACCOUNT
TOTAL CONSTRUCTION COST
$
FAST TRACK FEE $
$
PLANS
PROCESSED BY
APPROVED BY
LICENSE #
ARCH/ENGR ID#
NAME
GC/ACCOUNT HOLDER User ID #
TOTAL EQUIPMENT COST
NAME
NAME
NAME
To calculate equipment costs when there is at least one (1) piece of equipment over $500,000, enter the total equipment cost in the Equipment Cost field. Do not include this cost
in the Master Contract Cost field. The system will calculate the total equipment cost as follows: $500,000 at 100%, the remaining equipment cost at 20%
PRIVATE INDIVIDUAL
PRIVATE COMMUNITY
PUBLIC MASTER METER
Water
Sewer
NAME
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

RESIDENTIAL COMMERCIAL AMENDED (Mecklenburg County)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document