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Fa�813�8O�O21 <br /> City of Uis Permit Application <br /> Building Department <br /> Date Rece;lved Phone Contact for Permitting M�d\)a i(te- <br /> Owner's Address 1-ip ro m 'br Ta-Pwon 3 301 3�- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F QP� ?_PfiA&,�b LOT# <br /> SUBDIVISION P&RCELOD# <br /> . . ~(OBTAINED FROM PROPERTY TAX —NOTICE) <br /> ' <br /> WORK PROPOSED mewcnmsrx AOOA\LT �--1 SIGN F--1 �-� DEMOLISH INSTALL E REPAIR <br /> PROPOSED USE �--� . aFR �-� Co MM �--1 OTHER <br /> TYPE OF CONSTRUCTION BLOCK [-� FRAME �--� STEEL <br /> BUILDING- --_- ' <br /> =BU|LDING VALUAT ION OF TOTAL CONSTRUCTION <br /> =ELE{TRCAL AMP SERVICE F--� PROGRESS ENERGY �-� vv�.E/z <br /> =PUJMB\NG <br /> =MECHAN\CAL VALUATION OF MECHANICAL INSTALLATION <br /> [--� F-�( <br /> G�G ROOFING |�i � SPECIALTY | | OTHER <br /> �-_^ �_� <br /> FINISHED FLOOR ELEVATIONS Z(..3=b FLOOD ZONE AREA | |YE8 NO /ky <br /> BUILDER COMPANY <br /> SIGNATURE 1 0 <br /> REGISTEREDL��� 'Etcun�^ L�N � <br /> Address Unonou# <br /> ELECTRICIAN CoMpxmr CA <br /> SIGNATURE Rsa/orsmso L��_�_\ FssoonneN L_I7 NLI <br /> Address 1340oUcmnne# <br /> PLUMBER COMPANY <br /> SIGNATURE ssa/orsnso LY/_N_ 'pcsounnsx L_22LN_J ^J <br /> Address Ucense# <br /> MECHANICAL COMPANY <br /> SIGNATURE EL REGISTERED ` L����_� pEsounnsN lff y2 N_J <br /> Address J Ucvnsn# <br /> OTHER COMPANY <br /> SIGNATURE <br /> p�uun�� LYLN_�J <br /> A ddress Nal pa Unonoo# <br /> RESIDENTIAL Attach(2)Plot Plans;O4 sets of Building Plans;(1)set of Energy Forms;R-O4V Permit for new construction, <br /> ' Mirfimum ten(1U)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1dumpnter Site Work Permit for oubdivisinno8argeprojects <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(1O)working days after submittal date. Required onsita.Construction Plans,Shznnwater Plans v/Silt Fence installed, <br /> Sanitary Faci|itian&1dumdotec 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&Contractor sign back of application,notarized <br /> n over$usoo.a Notice pf Commencement iarequired. (AIC upgrades over*75VV) <br /> � Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rnmofsifshingles Sewers Service Upgrades A/C Fnnooa(P|ot/Gumey/FootoQn) <br /> Driveways-Not over Counter ifon public modvayo,needsROW <br /> . . <br /> ^^ <br /> - <br />