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ulty of Gt:pfi}tC(1llIS Permit Appucavon rax•zI�s•rou uu�: <br /> Building Department <br /> t'nonl�cR <br /> Date Received Phone Contact for Permitttn 3 2 4 q _�� <br /> Owner's Name d�e—N e t-A A c "-2 Owner Phone Number i13 -7/3^J 1-f I <br /> Owner's Address 3!Z �- :hi g A Cr Owner Phone Number — <br /> Fee Simple Titleholder Name } Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7312. Le4/r 9h cr Zee;±1015 FL 3 350 _.. LOT# (74? —� <br /> SUBDIVISION L J0,hA 611A3e, Est PARCEL ID# 3 OvSA 060W 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED) NEW CONSTR 8 , ADDIALT �) SIGN [� `Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM• • OTHER [ —� <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL �'• ' '�J <br /> DESCRIPTION OF WORK !`e P(Q Ce me0J 6f DiAc <br /> r <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT C <br /> _ rzufil�su <br /> [BUILDING $ �2 VALUATION OF TOTAL CONSTRUCTION <br /> =ELEECTRICAL • AMP SERVICE PROGRESS ENERGY W,R,E.C. <br /> =PLUMB2NG ". $ . <br /> =MECHANICAL �$' VALUATION OF MECHANICAL INSTALLATION Y ' <br /> =GAS ROOFINGS SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE:AREAS F—:]YES NO <br /> fititttlfit I I 1411111 ti ttfit ti 1 11111 11 1 11 1 11111 1 11 f 1 11 t 111 a 1"111 ttt1111 +l-t+++H-i+H <br /> BUILDER F. COMPANY _ <br /> Y/N SIGNATURE REGISTERED Y/ N a FEE CURRE�f`'�--[ '— <br /> Address License <br /> ELECT'RtCIAH COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh L.1!N <br /> Address License# <br /> PLUMBER COMPANY <br /> �s- --__ r-___ <br /> SIGNATURE REGISTERED FEE/ N FEE CURREK Y/N <br /> Address C �. License# —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED i"'-2=---FEE cURREA Y!N <br /> Address C .Z S t t�ca f31 J T e� � 3 3 G..J"y License# <,ACr <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y t N FEE CURREI+ Y!N <br /> Address License# — <br /> tttittt fftHttHtlttl t1 ttttHii+wi <br /> RESIDENTIAL Attach(2)Plat 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 data Required onsite,Construction Plans,Stormwater Plans wt Silt Fence Installed, <br /> -- - Sanitary Facilities&-1 dumpster;Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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 w1 Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet"compilance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ",PROPERTY SURVEY required for off NEW construction. <br /> 1 CCU IZI7=:II1;I3 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement is required, (AtC upgrades over$T500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter tram owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />