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Date Racelvod, <br /> !"hone Contact for Permitting <br /> 7=14a <br /> =MIT :ta- U <br /> I <br /> Owner's Nanl(I <br /> L Am A Owner Pt one lumber <br /> owneWs Address gal Owner P,one RlumfJer C_�_ _..� �__ ___.�- 0 <br /> Fee Slrnple'711'1111611011ic(er Malll e C____� Ft. 3 Owner P one lumber <br /> ."ee Simple Titleholder Address C_.__ _ � �� _�:�_ <br /> JOB ADDRESS t -iefk i%11S FL I- A LOT <br /> 31UB101VISION P'ARCELID# 6y 0ao <br /> (08TA' vo nkom PROPERTY TAX N.071HI-F 7 <br /> NORK PROPOSED F NEW C0NSTR ADD/ALT SIGN DEMOLISH <br /> TALL <br /> El NS REPAIR <br /> ROPOSEE)USE ' SFR Comm OTHE <br /> -yl:ll* OF CONSTRI10 ridlN,! BLOCK FRAMI--_ STEE <br /> )ESCIRIPTION 01:WORK J'i C--wsm, 7v"of wood ia. w m i <br /> IUILDING SIZE <br /> HIFIG I 30 POOTAGE <br /> =Uzi <br /> $ <br /> VALUATION 01:TOTAL.CONSIA'u TION <br /> I $ AMID SERVICE F1 OGRESS ENERGY, KRJ:.C. <br /> G U <br /> [$ <br /> [_ _ —! ; <br /> [_=PLUMBING, `7 <br /> VALUATION OF IINST LLA ION <br /> ROOFING SPECIALTY OT14�,]YeS <br /> NISHED FLOOR E1Evxrio Ns FLOOD ZONE AREA NO Z, <br /> A I i­H1 11111 tl -H+f­H-t+f-"+ftH-f <br /> ALDER <br /> COMPANY n <br /> 0;Z. <br /> GNATURE Re REGISTERED --Y7'-N <br /> ................44t,�hot4v CA-11-to- J FHE 0 EK YlhL- j <br /> e) -7S 19 e &L61, <br /> 12.LAN§Lca�L 27S,70 LIc n0e# <br /> C _ <br /> ECTRICIAN COMPANY <br /> _ ___l <br /> 3NATUR.. REGISTERED FEE CUR HN__1 Y 7 <br /> Addrwis Lie nas# <br /> UN113ER iCOMPANY <br /> ,NATURE: REGISTERED 77 7 WN J ii�uFkREN__1_Y/'N=----- <br /> Address Lice s <br /> CHANIC COMPANY ULJ <br /> REGISTERED 31STERED Y N T �FLEITU RF <br /> 7i <br /> ;NATURE <br /> Address E, 1 71 LIcenso <br /> COMPANY <br /> NATURE. [_-. ___I" _�._.___ _.M____,_ REGISTERED Li aL_ iFill.1WEN =7 ID <br /> Addres$ Lice s+11-f 11 1 1 1 HH+H-Hfl­Ni+Hi1 I I f t hf I` -H++Ff+i+ +FI H+H+H-H+H-f I <br /> 0DIENTIAl. AttaOl(2.)4 1,t Plans;(2)sets of Building Plans:(1)set of Energy Porms;R- _W P(milt lf�r now construction, <br /> Minliftrn(.on(10)working days after 3Ubmittal date, Required onsIta, ("onstructIon Plans Storrnwater Plans w/Silt Fence Installed, <br /> Sardary Facl Itler,&1 dumpster;Site Work Permit for subdIvislons/large projects <br /> AMERCIAL Attaofii(3)!cooiplete sets -1 <br /> Atl�u s.a-Life-Safet Pag ,( ) at of Enero FbAls. R.O-W Permit for now c6nsIrucfIon-.--- <br /> ilding Plans.plu. y q, , 11 <br /> Minlrourn ten,00)working days after;submittal date. Required onsita,Construction Plansi Stormwater Plans w/Silt l.'ence Installed, <br /> 8>arflt#try Facl�ltles&1 dumpster. Site Work Permit for all now projects,All comm pro al IGq lrernents must meat compliance <br /> 4 PERMIT Attadi(2)'setp of I-Engineored Plans, <br /> ­-r,Ftok I'.R''Y SURVEY required for all NEW construction, <br /> ,tions: <br /> Fill out application completely. <br /> Owner 8,Contractor sign batik of application,notarized <br /> L` aver gikSUl), Fr (A/C upgrades over!17.1500) <br /> Agent(for the contra:blor)I lor ilower of Attorney(for the owner)would be someone with notarized let or fro n owner auth6rizin.geame <br /> vrH5 COUNTERPERMITTING (I:ront of Application Only) <br /> )is;if shinilles Sdwar$ Service Upgrades A/C Fences(Pict/Survey/Footage) <br /> oriveways-Not over Counter If on public roadways.,neods ROW <br />