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Date Flecelve Phone Contact for <br /> Owner's Name, L itz Owner P on:h�umbar <br /> Fee Simple Titleholder Address <br /> -70 <br /> (OBTAINFI-90M PROPERTY TAX NOTICr) <br /> El INSTALL REPAIR <br /> BLOCK FRAME: L <br /> TYPE:OF CONSTRUCTION STEE <br /> VALUATION 01:TOTAL CONSTRUdl(ON <br /> JELIECTRICAL AMP SERVICE FIR,OGRESS ENERGY W.R.(!.0 <br /> [-7,MIECHANICAL VALUATION OF MECHANICAL INST�LLATION <br /> ROOFING SPECIALTY =1 OTHE <br /> IrVSHEO FLOOR ELEVATIONS FLOOD Z NE AREA Y'is NO <br /> tGNATURr Lwe_g Atmowg CA4!A,-0 REGISTERED Y I N i_j FEE CURREN I YIN <br /> _EC,I'RICLAN COMPANY I <br /> FEE <br /> IJNIOER COMPANY <br /> SNNTURI! REGISTERED Y/ Nf i FEE CURREN Y=/N <br /> ,%ddross Lice:Ilse it <br /> iCHANICAL COMPANY <br /> HE.It COMPANY <br /> SWENTIAL Athich(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> 101nimunt ten(10)working days after Submittal date. Required onsito,Construction'Plami,Stormwater Plans wl Silt Fence Installed, <br /> --MMERCIAL minch(3)complete sets of Building Plans plus a Life Safety Page;(,[)!;at of Enerq� Form&R-O-W Permit for new c0nstructlon. <br /> 101rilmurn ten(10)worldnil days aftersubmittal date. Required onsito,Constructionipland,stormwater Plans w/Silt Fence Installed, <br /> '— —k Permit— projects.All commer,al re ulrements roust nneet compliance <br />