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V{J-/l7u-vv4v OILY UI Lt fpl Iyl 11111J r­Cl 1(II1.t-%P.r(IUdUU1 I i ax-u 10-1 oU-Uvr.i <br /> Building Department <br /> )ate Received Phone Contact:for Pennittin <br /> 1-i-TT fl�l�-I i /� <br /> )wner's Name pI L l kt .I" D(11 C Co )G{.(1 L; (�L OwnerPhone Number ��— I 'E5 1 1 <br /> r's Address 2u 2 S, Fa-l4ti burs J l i�e�t�I P j t� L <br /> ! Owner Phone Number <br /> )wne <br /> -ee Simple Titleholder Name / Owner Phone Number �^ <br /> --ee Simple Titleholder Address. !A <br /> JOB ADDRESS -JI � Vlit UVODdS r/ LOT#776 <br /> SUBDIVISION O��S 0 1 a�"O PARCEL ID#Ftoy—z(2—V-0120-ZDOX-0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED e NEW COLSTR 8 RDDIALT EPAIR SIGN = DEMOLISH <br /> INS3ROPOSED USE Q SFR 0 COMM' = OTHER <br /> TYPE OF CONSTRUCTION �C 11 BLOCK Ej FRAME j'STEEL /Q <br /> )ESCRIPTION'OF WORK nes <br /> / <br /> 3UILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $�.� /yr�r ,y� AMP SERVICE 0�--�P/R`OOGRESS ENEERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $. 5�r/`—r� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS /;j,f� D� J FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY lilk#O !t! <br /> SIGNATURE , REGISTERED Y/ N FEE CURREN n Y/N <br /> Address f/O��S� nC� i lVe'U/ell�l j 3 License# <br /> ELECTRICIAN COMPANY 5 r Gda <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address / /a q� � License# <br /> PLUMBER COMPANY <br /> SIGNATURE ,I REGISTERED Y/ N FEE CURREN <br /> Address 313� 3 �/GJ(l� I�FG 378� License# LJa�a��1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURR Y/N <br /> l�/3 l7 nt6�'I Address �hJl, GtS�1,GL 341 cP(v? License#OTHER COMPANY �"� r"" a` <br /> SIGNATURE. REGISTERED Y! N J FEE CURREN Y/N <br /> Address IIg31/3/7//n Dr T&D License# <br /> 1111111l11111Il1lllllllilllillll11111l11111101llillllllllllllllllll <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 subdivisions/large 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 /> ****PROPERTY.SURVEY required for all NEW construction. <br /> . . . : . . . . . . . . . . . . . : . . . . . ... . . . <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 />