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uty oT i-epirtymms Kermit Application Fax-813-78maz1 <br /> Building Oepqrtment <br /> Date Received Phone Contact for permitting iql3i ) 32! -0to3l <br /> -F-1-11711 a 0 1 1 . . . . . . . . . . . . <br /> Owners Name 1746HAS 0047-A CRUZ: Owner"Phone Numb <br /> Owke.Add. 3?q2o 6 r4 /4 V Owner Phone Number <br /> Fee Simplerttleholderflame Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 3gq?o 'SW AVE, CEPHILMHCUr LOT# <br /> SUBOPASION PARCEL ID*1't1 - 21-0010- 17qoa- 00/6--� <br /> (OHIAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSM-5 R ADDIALT SIGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK li7xug uA noAt OF A AQ,0LRQ0MTn P1402VOUJI?T-6—S-0�qie <br /> BUILDING SIZE I 1 $0 FOOTAGE HEIGHT PAIVOL !�'L(IfTFW. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDING 1$J ,JIS-2 - VALUATION OF TOTAL CONSTRUCTION <br /> E25ELECTRICAL 11;Sjog_0d AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING is V'o I X, 2, P".-S <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO3 <br /> -/ . .. .. . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER CO h4:(I'si-614 <br /> SIGNATURE RM FtftCURREN !N rl <br /> Address FYOi W.IMANA AMC 7W F Ucense# <br /> ELECTRICIAN COMPANY -rSmAR bf,7y0tW0P0 <br /> SIGNATURE REGISTERED FEE CURREN L2/N I <br /> Address &Wr--W—Paulug License#I al,30 0(97%f 8 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN LZIN J <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEECURRE1, LILN J <br /> Address License#F- <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED YIN I FEE cuRREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(110)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wif Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa 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&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 01. . . . . . . . . . . . . . . . . . . . . . . . . <br /> 16=S: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If <br /> over$2500,a Notice of Commencement Is required. (A/C upgrades over$700) <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 /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-neads ROW <br />