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ItaEe FMDA phone Cortcac2 for P4rrnittBr9t <br /> ]vurleY's 4Uas�e _0xuNumber <br /> Xmar`,7 A a La <br /> C)s `` <br /> 'e^,ewsai�i8 6re�"V�S'7�3eiz�c�i�;im�Yt� i� — •. 1 .1 i'- 61Wr�LY's'�11C58'S,0 iklla��7FiTY :� <br /> 'cc Simple T iglaholddr Addra <br /> °s4ABflBVBSi®B�1 � PARCEL ifs - _.3�]..�... <br /> WORK PROPOSED NEW CONSTR2 °ADD/ALT �' SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> DROPOSED UiE Q SFR' - Q' COMM Q OTHER' <br /> rYPE Or-CONSTRUCTION Q BLOC FRAME <br /> GE: aim wry:. <br /> �:3ir"•V"if" t1""sJ"'ff'iJ""i�• U'�"�Y"'N'"D��Y'V�''T`if"�rV'C'�tl"GiY""V`7`lY'u�FP'V�' I(`b"'�'—d"V"U"'u"'G"3 if'��� 6 a. "D"'�:7—'0`o"'N"'!1'"'o sf'"ti•"�-ii"'{f"17"'. - <br /> 611ILDBNG VAL'UATION.OF TOTAL CONSTRUCTION, - <br /> ELECTRICAL AMP SErVICE PRoGPRESS.ENEiRGY. KR.E.C. <br /> QPLt)iUBINGe <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS — ROOFING ® -SPECIALTY: OTHER, <br /> FINISHED FLOOD SLIEVAT[ONS 'frl GOD ZONE AREA. Q YES NO <br /> cafupAwy <br /> Eiii`3A 1;.9R� REGISTCRFD FEE CURREA Y/ <br /> Addmes I �D O �(�c<<S�l--lam License 0 <br /> EB_ECTI%ICBEa 4_ . COii PA#�SY <br /> IG 9 `r'i;" { •. "'t t t 2Eirue��. <br /> Addrezz. e P Llo e <br /> PLtrIMDER CO,f fiPANY. <br /> SIGNATURE ; -REGISTERED Y/ N FEE CURR£A Y/N <br /> �e1c�lG <br /> License t, .' <br /> ul1t��,.r3ACtt& ., �(It1�fAA1Y.' <br /> fSE CIU'aF:I.­,� <br /> Asfdee License af. , <br /> OTHER C®[iJlPc�jdY ` <br /> SIGNATURE RE018 tERED Y/ 11 . FEE CURREN Y/Ill <br /> n_a ➢ �:a`➢ l is ➢ >a.,a. 6'➢ '➢ "➢ '8 '➢_➢ ➢;.➢- :➢.'➢ ➢ ➢:8.➢.1' ➢ !1 ➢ fi 'll l! ;tE; �t.�.�i�➢ ➢ '@ I g.'i' a-.li 0,Q,•li-4 .a J a a a: <br /> Attach(2}Plot PiSnt;(2).Sets of Building Plans:(1)set of Ei�craY 1 6rrny;f,-Cr I/l/Permit for ne,ru.ocnstrucf on, <br /> Mitin'tu m ton(.20)ilod"ing days ofsr-subrnit`mi,u te. Required onsiw.Con,tructlo ,Plata,St'orrnvrater pizrawt Silt Fance irataifad, <br /> Sanitary Facilities«1"dumpSter;Site Wort(Permit for subdivisionslisrge-projects <br /> 00MMERCIAL Attach(2)'complete sets of Building Plans'plus a Llfe'uafety Reap;-(I)set of Energy Forms.R-0-W.Permit for nova conMction. <br /> Minimum fen(40)woti:ir�g days af6t submittal deco. Required on3ite,Construction Plans,5rormwater Plans w/$iii Fencs installed, <br /> Sanitary Facliitles :f dumpster.Slte Wcr!(Permit`for ail hew.projectsfAll comrnerclal requlroments must-meet cofnpliance- <br /> SIGN PERMIT Attach(2)scats of Engineered-Plans. <br /> ""PROPERTY SURVEY required.far,all NEW construction. <br /> ;-111 oui appilc�:tioil c,orlll ldte'ly. <br /> Ovrner,&Crpntraol sign:ba�cl:OT t2Zlj]11Cc7il�f�„yd1II°.al��ea q ['.r�u p yg gy . <br /> Agent(for the contractor).or Power of Aftomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> "OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shin-glee Severs Service Upgrades A/C rencos(PloUSurviby/Fobtega) <br />