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c.WN,iyl z"Flo i ct 1 i nt nNNm.auvi, <br /> Building Department <br /> )ate Received <br /> I_�"-Ir _ Phone Contact for Permitting_ ��(� (, <br /> 3� -rx-r-ra <br /> )wner's Name Per l�C ( p�l C G' r 1 1 <br /> ow =Owner Phone Number �'�._ <br /> owner's Address 2(.t(i-� S. �Q.��(i�(,l�-�' ,�i itj�f t- , <br /> ___ <br /> -ee Simple Titleholder Name �— /A � Owner Phone Number <br /> Owner phone Number <br /> Fee simple Titleholder Address 1� <br /> JOB ADDRESS ( � 'W •y <br /> D�,�� ( S E' 3� <br /> SUBDIVISION p �1 O LOT# <br /> ' = PARCEL lD# <br /> WORK PROPOSED NEW (OBTAINED FROM PROPERTY TAX ArOTnCE1 <br /> INSTALL STR 0 RREPAIR SIGN <br /> PROPOSED USE � SFR � DEMOLISH <br /> TYPE OF GONSTRUCI ION 0 STEEL COMM 0 OTHER <br /> BLOCK 0 FRAME 0 <br /> DESCRIPTION OF WORK <br /> Bull_DiNG SiZE J' 1mmit <br /> SQ FOOTAGE <br /> HEIGHT ter. L <br /> BUILDING $ <br /> =ELEGTRlCAL VALUATION OF TOTAL CONSTRUCTION <br /> R <br /> �ql <br /> ot_ AMP SERVICE - r <br /> =PLUMBING <br /> "MECHANICAL $ � /}� VALUATION OF MECHANICAL INSTALLATION <br /> 1 !.d <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS /�J j Jl y/ FLOOD ZONE AREA ]YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ,f REGISTERED Y/ N FEE CURREN Y//N_ <br /> Address �� �, � ll��tfrC' tV��vf��l.)i��,3� License# Itf' ©1 <br /> ELECTRICIAN 1 COMPANYL� <br /> SIGNATURE /�/y REGISTERED Y/ N FEE CURREN Y I N <br /> Address !�G 67� / L "License# 3CO'-;-5-7 �J <br /> PLUMBERE AV COMPANY V/' r lr3 1 D M <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> C Y I N <br /> Address 3133 fV jIJ,ldG j L,3j�7i`�rJ License# 1 O FC/W�7*_1 <br /> MECHANICAL COMPANY cn�s yT1Y CLt GG/l1�I/lvrw * <br /> SIGNATURE REGISTERED YIN I FEE CURREN Y/N <br /> J3faGn Address �hlf� GYSzart, (, 3 Go(p7 License# t d,4/1 tI !'�32 <br /> OTHER COMPANY / ��✓t �� <br /> SIGNATURE REGISTERED Y i N FEE CURREN Y I N <br /> Address /193il6mn /G,f? , � 3 License# I <br /> IIIBIIIII11111111 full 1111111111I11111tlliliiiliiilliililllilllliiili <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.Alt commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*"PROPERTY 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 /> RerODfs if shingles Sewers Service Upgrades A/C Fences(PlofitSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />