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813-f8U-UUGU l.ill�/ UI LG�.Illylllnw � �..���n�i•rr�,•••,••.,••• <br /> ` � Building Department <br /> Date Received Phoae Gantact far Perm�tfsng �!3 �$Z - 6�q`� , <br /> �: <br /> Owner's Name ��v ��`"'I� Owner Phane Number �s''� ..J`���`0��� ,� <br /> Owner'sAddress 3�"r�" � ����k'�� �� ' Owner Phone Numher� �', <br /> Fee Simple Titleholder Name Owner Phane Number�� �;E <br /> Fee 5imple Titlehalder Address <br /> JOBAp�RH^^uS � is�3b �{(,te�}m �� � � {"1 r�1i��c5j � � 35�#� �.ar# L� <br /> susu�v�sio� �+'r,�� �+i ri 2r.�s ��''1�� � :PARCEl::ID# 3`�-�2 5-2t-�'��- Qt�c�—c72r� . <br /> � �(OBTAINEU FRdM PROPERTY TAX NOTIGE) <br /> WOFi1C FROt'{JSED e P3EW CtIt�3STR e ADD/A�`f Q SIGN � MOVE � DENiOLISH <br /> � � � INSTALL REPAIR <br /> PROPOSED USE Q SFF2 C,.,� COMM Q �OTHER �� � ' <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q QTHER . <br /> DESCRIP7'IQN OF�.WORFC; ��1�1�\lE,'- G�t� r I ttL'�..'� W�tv.�.tx,uS �J�C`� �K �U t �S if't`�'G�'1 ��-��.�3_.t . <br /> BUILDING SIZE � � SQ FOOTAGE C-_� HEI�FI`F �� , <br /> BUILDtNG � � VAC.t1ATIOPi OF'FOTAL Ct�NS3FtUG'FIOfd � � , � � <br /> ��� ' <br /> Q EI.ECTi31CAL �$'� � AMP SERViCE 0 PF20GRESS ENERGY Q W.R.E.G. <br /> � � <br /> � Pl.UMBING $ ��,I� <br /> Q MECHANlCAL $ VAWAT(ON OF MECHANlCAL INSTALl.ATION ,�` � <br /> � ' <br /> � GAS Q RQOFING Q SPEGIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES QIVO . <br /> BUILDER_ �__. - -• - - ...__._.._._.__�' .� � CClMPAG1Y-- ��L�'°"1 ��'��`"t �`'c . <br /> SIGNATURE REGiSTERED Y IV . FEE CURRENT 1' !V " <br /> Address 'J��t 3 S�- 5�1� �h r�t l�s�' �- 335�t ' L�cense# � C.�G�t�1.�'Y�`7(� <br /> ELECTt21CtAN COMPANY � � <br /> SIGNATURE REGISTERED Y f N �FEE CURRENT Y I N <br /> Adtiress License#` � � <br /> PLI.IMBER GOMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENi' Y!N <br /> Address License# ��-- � <br /> MECHAN[CA� COMPAt+lY � ' <br /> SIGNATURE REGISTERHD Y J N FEE CURRENT Y J�I <br /> Address ' - License# � � <br /> OTFIER CC71MPANY ` � ' . , <br /> StGNATURE 4 REGISTERE,p Y/ �f FEE CURRENT Y I EI <br /> Address '`liceose# � � <br /> �, _ <br /> RE9[DENTIAL Attach{2}P(at Pians;(2}sets of Buitding P1ans;{1)set of Energy�orms;R-O-W Permit ftar new construction. <br /> Minimum fen(10}warking days affer submittal date. Requtred onstte,Construction Plans,Sformwafer Plans w!Sitt Fence insfalEed; <br /> Sanitary Facilities&1 dumpster;Site Work Permit for'subdlvisions/large projects __ . _. _ <br /> GONItVtERCiAL Attach(3}se#s of8uliding Pians;{3)set of Energy Porms.R-fl-W..Permik far new construcfion. . <br /> Minirnum ten(10j working clays after submit#at dafe. Required onsite,Canstrucfion Ptans,Stormwater Plans.w!Silt Fence 9nsfalled, <br /> Sanitary Facilities&1 dumpsker.Site Work Permit for all�ew projects.All commercial requiremen#s must meet compliance' � <br /> SIGN PERMIT Attach{2}sets of Eng3neered Pians. <br /> **'*PROPER'i'Y SURVEY required for att NEW ccanstructian. • <br /> Direations: , , <br /> Fiil out appiication compietety. <br /> Owner&Contractor sign back of application,notarized <br /> If aver$2500,a NaE�ae of Commencement is required. {AtC upgrades over$5040j <br /> `• Agent(for the contraatar)or Pawer of Attomey(for the owner)would be someone with notarized letter from owner autharizing same <br /> �OVEE2 THE COUNTER PEE2MtTTING (Frant of AppGcation OnfYj <br /> Reroofs Sewers Service Upgtades A/C Fences(PiotlSurvey/Footage} <br /> Driveways-Not over Counter If an pubtic roadways..needs FLOW <br /> , , ' � , � . . <br /> ,., ,„ �� ., , ��� � , , <br /> � <br />