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'' ---- uxIyoT z-gphvrhU 0n� F�»8 3�8O�D21\8 P� <br /> �o�\iC�tOO ' �»u <br /> Building Department <br /> cztDate Received Phone Contact for Permitting <br /> vim r)c <br /> Owner's 4ame Owner Phone Nu b <br /> Owner's Address Owner Phone Number <br /> -Fee Simple Titleholder Name -,s-a m-R_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> Suaa)Via/PN PARcEL0# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> � <br /> WORK PROPOSED wewcomsTn ADO�Lr �--� SIGN F--1 F--1 DEMOLISHET INSTALL [_] REPAIR <br /> PROPOSED USE = aFR �� COMM �--1 OTHER <br /> TYPE oFCONSTRUCTION ��� BLOCK �-� FRAME �--1 STEEL �--1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �--lBU(LO|NG <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> =ELE{TR}[X\L AM SERVICE �--1 PROGREGGENERGY �-1 YY.R.E.C. <br /> =pLUMBINGb, %Q Q I <br /> ` <br /> -�ECH�N��� .�~ ... ,~ ,~~..,.~�..~.~�..ON ' <br /> �-���G �-�� ROOFING F-� � SPECIALTY F---� �THER / `~ <br /> �_� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE8 NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> o RE nsamrsxso `/ilN_ pEft CuRns� <br /> Address Uounse# <br /> ELECTRICIAN, 01 > <br /> COMPANY <br /> SIGNATURE RI Y/ N rE-Ecdnnek <br /> Address Uuanaa# <br /> PLUMBER <br /> SIGNATURE . REGISTERED � FEE CURRdh YIN I <br /> - <br /> Aduvess <br /> MECHANICAL COMPANY PMqvv5s*1Qe_ I)-le <br /> SIGNATURE <br /> Address License# <br /> OTHER <br /> SIGNATURE <br /> L_.y L __ <br /> Address License# <br /> x n I n u x x u m w x n u n m o x x u m n x III m n n o VI m U x n n K I x u K x m m n u n u V m x x x I n x x n x U o x o n I m x x <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets uf Building Plans;(1)set nf Energy Forms;R­O4V Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans, Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 d sta Site Work Permit fo bdivi | moprojects <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 wl Silt Fence installed, <br /> Sanitary Facilities&I dumoster.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 /> Fill out application completely. <br /> Owner 8 Contractor sign back nf application,notarized <br /> If over$o5on.o Notice of Commencement isrequired. (A/C upgrades over*7500) <br /> � AQont(for#homantractor)urPowerof/Ut6rne�(for|bonvne)wmu|dbaoomeono*i8hnotahzed|aMerhnmovnerauthohzin same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Romofs if shingles Sewers Service Upgrades A/C Fanceo(P|oVGumey/Footoge) <br /> over Counter ifun public modwaye'neodnROW <br /> ' . <br /> � ^ <br /> �� <br />