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..�a� �� �.vr���� ��v � v������i ��.rr��vua�v�� .�....... ..... ....�� <br /> Building Department <br /> lYlrrnr�.GA <br /> Date�teceived► �_'_��—� �, <br /> ��� Phone Conta�c4for Permitting � 26 -- '�'Y�6$ _ <br /> Owne�'s Name �/ZP� �i 1/i✓pw/� Owner Phone Number ��3 -gt� - �1�53 � <br /> Own��'sAddlress�zOs �S�IAN� dR � � OwnerPhoneNumber � � <br /> Fee:�Imple 1'itleho9der Name _] Owner Phone Number C �� <br /> Fee:ilmple 1'ftlehoVder Address C __ _� <br /> JOB ADDRESS 720� !�S1,1�a�Ic��/a ZP�iayl�;�/s F� 3 3 s�o � LOT# , ZY � <br /> SUBIDIVISIOIV �I�.P�A 1liI�A9.¢� F,S� PARC�L ID# 35-�5-2I'OOSO'OOOOp " D�.�O �,] <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOR.N:PROF�OSED NEW CC)NSTR ADD/ALT 0 SIGN [� CI DEMOLISH <br /> INSTAI_L I� REPAIR <br /> PROIPOSED USE Q SFR I� COMM � OTHER � �:� <br /> TYPEe OF CONSTRIJCTION Q BLOCK I� FRAMC 0 STEEL [� C __;� <br /> DESI;IRIPTIO�N OF 1NORK !`��+�LQ �]yv�N�p� �,tNi i��$�ie. FL 16804 � <br /> BUIL�ING SIZE [_ :5Q FOOTAGE C_� HEIGHT [ I <br /> ���� <br /> [_�UILDINC� $ (J ` � VAL.UATION 01=TOTAL CONSTRUCTION <br /> 7 J <br /> [_�ELI=CTRICAL $ � AMI'SERVICE � F'ROGRESS ENERC9Y Q W.R.E.C. <br /> [-�PLUMBING $ � � �� � � <br /> � <br /> f i <br /> [_�MECHANICAL $ � VAL.UATION Of=MECHANICAL INSTALLATION <br /> [_�GAS ' Q ROOFIPJG [� SPECIALTY Q OTHER <br /> FINIShIED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES NO <br /> ttittFPtl�i-ti�tti-fi-FFH�i-F� fhi-hit i�i-It�f�f-hFti-Fitttiiiii�}tftHi-I-H-FFi-FFNi�i <br /> BUILIDER .�TeR AN NY A R � � <br /> ��MPANY _LO_W e S 1/arne CeNTe�s LLG <br /> SIGN/#TURE �»yl.(�� �` C��� REGISTERED ��Y%�� FEE CURRE� Y/N <br /> �' <br /> �4ddress TO BCX 7 g!R9 3 p R�A�n�do F(,3Z�'18 ] License# C�oG/5oSY�7 _., <br /> ELEC1'RICIAIV COMP'ANY , <br /> SIGNATURE � REGISTERED Y/ N F <br /> 1 EE CURRE� Y/N <br /> ���ddress [u � License# C ] <br /> PLUNIl3ER COMPANY ] <br /> SIGN,ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> /���dress r L(cense# C � � <br /> MECFI�4NICAI_ � COMPANY � <br /> SIGN,ATURE I REGISTERED Y/ N F[E CURRE� Y/N <br /> /\iidress [� � Ltcense# C ' _] <br /> OTHE:Ft COMPANY � , <br /> SIGN�4TURE [ REGISTERED Y/ N FEE CURRE� Y <br /> � /N <br /> —� <br /> Address � � License# C � � <br /> iitftitttttHih++f+hfi-H�F +i+fiii-af-hF i+}tHitiitf+l-Ff+t � <br /> RESII)IENTIAI_ 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,Constructlon.Plans,Stormwater Plans w/Silt Fence installed, <br /> - " --� -- �- Sanitary Faotlitles-�1 dumpster;Site Work Permit for subdivlsions/large proJects - -- -- <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Form�.R-O-W Permit for new constructlon. <br /> Minlmum ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> San(tary Facilit(es 8�1 dumpster.Site Work f'ermft for all now proJects,All commercial requirements must meet compliance <br /> SIGN P'ERMII' Attach(2)sets of Engineered Plans. " <br /> ""'PROPERTY SURVEY requ(rad for all NEW construction. <br /> �IILl'�]2lIIII �A�� �IB <br /> Direct:f��ns: _ - ---- - ----_- - , _ _ - _ ' - _- - - -- - - - <br /> Fill out appltcation completely. - - — ' <br /> O�vner&Contractor sign back of appl(cation,notarized � <br /> IV�over$:!500,a Notice of Commencement is required. (AIC upgrades over�7500) <br /> "" F�c�ent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER.'fHE C()UNT�R P�RMITTING ,(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C . ��Fences(PIoUSurvey/Footage) <br /> [hivevvay�s-Not over Counter if on pubiic roadways..noeds ROW <br />