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%.JILy VI LCLJI Iyllllll,_r'CIIIIII.r1jJNllcdllull r'dA-O 10-1 0U-UU61 <br /> Building Department <br /> )ate Received _rJ Phone Contact for Permitting �� , ) of <br /> Jwner's Name Rul+C (iO m C G:nn )Ct 0 L,- C,f G Owner Phone Number <br /> 7wner's Address P.,�z S Fa- hujG,U) kw( Owner Phone Number <br /> Fee Simple Titleholder Name / A Owner Phone Number <br /> Fee-Simple Titleholder Address I <br /> JOB ADDRESS �r J J�2 LOT# <br /> SUBDIVISION OW�S D ) SC PARCEL ID# "'�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED IF] NEW CONSTR R <br /> ADD/ALT SIGN = Q. DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR. 0 COMM OTHER <br /> 17YPE OF CONSTRUCTION 'BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE -7-VXllq SQ FOOTAGE J HEIGHT <br /> =6UlLDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS ,lO 1 FLOOD ZONE AREA YES NO <br /> BUILDER COMPANY ale #VM6 �vNLPd w LLe <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N /l <br /> Address ��i ��l nd�ur ) llI Ui?wi�c;3 J License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Y/y REGISTERED Y/ N FEE CURREN N <br /> !� <br /> Address / / I �/ ` License# E6 ?�'J <br /> PLUMBER COMPANY <br /> SIGNATURE �/�, 1 REGISTERED Y/ N FEE CURREK <br /> Address . 3/33/tl� 3 !u' 4b)f/dam',FL License# <br /> ECHANICAL COMPANY <br /> IGNATURE REGISTERED Y I N FEE CURREf\ I YIN <br /> R/3 Address fY tO W/ RSLa1;t:L 3 c/•t,4a License# dzia &123 (� <br /> THER COMPANY <br /> GNATURE REGISTERED Y/ N FEE CURREN <br /> Address /193i4fVin 0r P,tJ OfI` ,M )��i 37 License#. LI3` ) <br /> �� e � ee � :ao � � eaene >teae � Qeae � ioeeoeee � � aeeeeal � raie >Ie « eeee � � eeeeceee � >la . <br /> RESIDENTIAL Attach(2)Plot 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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)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.w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '°■"EPROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(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 shingles Sewers Service Upgrades.A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />