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8t�. n•rn�rt r�ir,�r,+_.,i„:r-�ui�r;sd.-h,�+n.,.,s:rnF:nn -nr_nt??nrznn2l <br /> BoOding.OapaRntent <br /> • Date Received PltouaGontactfor..Permiifiag ? - 1 7� -"iGp�-g�• <br /> 'i 1 8 11 4 S Y LT3- 'Ts u S- / s a <br /> Owner's Name �- Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Slmote Tiilvitolder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION d C%4� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR 8 ADWALT �_J SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM u OTHER <br /> TYPE OF CONSTRUCTION FLOCK <br /> FRAME STEEL (—� <br /> DESCRIPTION OF WORK <br /> BUILDING-SfZE- -SO FOOTAGE HEIGHT- <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =EL•ECTRICAL $ AMP SERVICE = PROGRESS ENERGY = NJ.R.E.C. <br /> K21PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> _=GAS Q ROOFING SPECIALTY`=- OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address l License# F I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGTSTERErr Y 7-N- - FEECURRER Y7 Rt" <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE Q.�^ REGISTERED N FEE CURREN Y I <br /> Addronn (yam 1 }RF n Lice N <br /> MECHANICAL COMPANY <br /> SIGNATURE-, REGISTERED Y/N FEE CURrt_A <br /> Addstss License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N <br /> Address License ft.( �. <br /> IIIIIIIIIttlltlllll111l1l11 ! ltt11111111lIIIIIIDIIIlltllllltllllllll <br /> RESIDENTIAL Aitaai,(7)PIM Piano/?1 cFfc nf_Rnildrnn Pinny-H1 Set of Fnomv Form_s;P 71.W Pnrndr.ter nau.rnncrn,�tlnn <br /> Minimum,ten(10)working days after submittal date. Required onsite,Construction Plans.Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities e 1 dumpster.Site Work Permit for subdivisions/large pro)acts <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fom1s.R-O-W Permit for new construction. <br /> Minimum ten(10)working,days after submittal data. Required onsito,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities-A' ddmpster..Site'xdrKiremtifidra4t nevi praerJ.s:PAS'bammese?t requVemeMs must tneet oomp5nnce <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "^PROPERTY SURVEY required for all NEW construction. <br /> f " • • ■ r hA 6 LS ,■� ■ tS ■J5..1 G� �IL..JS.d... . .. . . . <br /> Directions: <br /> Fift out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2500,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> OVER THE COUNTER PERMITTING (copy of contract required). <br /> Reroofs if shingles Sewers Service Upgrades A/C 'Fences(Plot(Survey/Footage) <br /> Driveway.Not:oveeCounter-i6onpublicreadxay&,needs ROW <br />