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Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> uil�ln oDep, en� <br /> for Permitting <br /> Owner's Name <br /> 0 ner Phone Number <br /> Fee Simple Titleholder Name , 0 ner Phone Number <br /> Fee Simple Titleho Ider Address <br /> JOB ADDRESS LOT# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> Ef INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK SIPQ\I- 3- <br /> BUILDING SIZE F_ I SQ FOOTAGE HEIGHT <br /> ' <br /> "BUILDING l0q, VALUATION OF TOTAL CO STRUCTION <br /> [__1pLU <br /> =MECHANI'CAL $ VALUATION OF MECHANIC L INSTALLATION <br /> GAS ROOFIN G_ SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 2A (1P 6 FLOOD ZONE AREA =YES NO <br /> SIGNATURE REGISTERED <br /> Address License#'Eaw,�qc&2 <br /> ELECTRICIAN COMPANY i�4rnrin Rrc4Y4 <br /> PLUMBER CwMr*m, <br /> SIGNATURE - - o REGISTERED Y/ N FEEICURREN <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED <br /> OTHER COMPANY <br /> SIGNATURE I <br /> REGISTERED rY N_, FEE CURREN YIN <br /> dress License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildi'ng Plans;(1)set of Energy Forms;�-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Co'struction Plan.s,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for su 3, rojects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)se of Energy Foirmi-i's.R-O-W Permit for new 'construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cc struction Plans,Stormwater Plans wt Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pl�ins. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. � <br /> Owner a Contractor sign back of application, ' <br /> If over vaoou Notice of <br /> Agent(for the contractor)m Power o"Attorney(for the owner)would uo someone with n tarlized letter from owner authorizing' same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Femofs if shingles Sewers Service Upgrades A/C Fences(PioK8umey/Fo e) <br /> Driveways-Not over Counter|fun public mod*myo.,neadoROW <br /> ! . <br /> ` <br />