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Building Department <br /> Date Received /b- •( 0 :. Phone Contact for Permitting ';..•.` <br /> 0- neei Nar e.. tis ber+5 Owner Phone Number <br /> Owriet's'Alclress;, • N11 Owner Phone Nuriiber t 5 "'. <br /> Fee Simple Titleholder Name Owner Phone-Number <br /> Fee Simple Titleholder Addree�ss2 r <br /> JOB.ADDRES&. t J V� Ave-` I I J l 33 S i1 LOT <br /> SUBDIVISION' lnS� f c� eS // <br /> ;PARCEL;ID#: 1 a^C 1p-�1. :I'D,. :fib <br /> l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKP..ROPO$ED', NEW,CONSTR ADD/ALT SIGN MOVE Q DEMOLISH' <br /> e INSTALL e REPAIR <br /> i <br /> PROPOSED USE , Q SFR , [� COMM Q OTHER D ;{'i) <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEE Q OTHER7777 <br /> DESCRIPTtON;QFWORK �e-(UU �.� 5 GFT(r�terli✓t�CaS (� ��n �� . �` .IC��a`[� �;` <br /> /\J f <br /> BUILDING SIZE j �y. :;`::.•SQ?FOOTAGE HEIGHT {Q <br /> E BUILDING $,:, <br /> vAL0ATIOIV:-OF?TOTAL:CONSTRIJ.GTION' _ <br /> 0 ELECTRICAL $ AMP SERVICE P GRES3-Eid W.R.E.C. <br /> Q PLUMBING $ <br /> 0 MECHANICAL. . $ VALUATION OF MECHANICAL INSTALLATION ' <br /> 0 GAS ROOFING SPECIALTY OTHER------------ <br /> . . <br /> FINISHED FLOOR ELEVATIONS• FLOOD ZONE AREA =YES �NO <br /> BUILDER__ t <br /> ..__ COMPANY . <br /> SIGNATURE _. - REGISTERED_ Y/ N FEE CURRENT <br /> Address License#. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N 'FEE CURRENT ' Y/N <br /> Address License# <br /> PLUMBER. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT,. <br /> Address License# <br /> MECHANICAL COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT . Y/N <br /> Address License# <br /> SIGNATURE:, . ..E <br /> ++ REGIIISTER�D Y N FEE C ENT <br /> Address • !kss I IDS F l 33 S t 1 i`.Licerise:# LCCC S 30,5 <br /> - <br /> ­Lf r�e- --------- 1441 <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.wt-Slit Fence Installed, " <br /> Sanitary Facilltles;&'1 dumpster,Site Work Permit for'subdiVlsions/large projects . <br /> COMMERCIAL. Attach(3)sets of-Building Plans;(1)set'of Energy Forms:R-O-W Permit for'new Construction. <br /> Minimum fen(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 /> '"*"PROPERl Y SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> * Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs 'Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) - <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />