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'—' ulty o|Z-8phvrhil\s Permit Application Fo»8 3-7Ro-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name bs'. �nc_ I Owner Phon Number <br /> TfAf�OM Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION KD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mmwoowSTn ADD/ALT F--� SIGN �—1 �—� DEk8QUGM <br /> INSTALL �_] REPAIR <br /> PROPOSED USE F--� oFR [—� COMM [--� OTHER <br /> TYPE OF CONSTRUCTION [-2— BLOCK F—� FRAME F---| STEELBUILDING SIZE SQ FOOTAGE "i�qHEIGHT <br /> DESCRIPTION OF WORK Saffi <br /> ' <br /> �__\ <br /> BU|LD|NG <br /> �--/ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR|CAL is AMP SERVICE F--1 PROGRESS F--1 VY.R£.C. <br /> =PLUM8|NG ;>7( <br /> =MEGMANIcAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [�'� ROOFING F—� � SPECIALTY F---� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE8 NO <br /> BUILDER COMPANY <br /> SIGNATURE xso/urEneo ` pssounnEx <br /> Address License# Eay, ,s9 c)(: <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nso/arsnso --' <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATUREnso��snso '� <br /> Address Uoonun# <br /> MECHANICAL COMP/NY <br /> SIGNATURE RsoIors*so <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE n�o/ore�soYIN —1 <br /> . FEE CURREN <br /> Address Uoenoa# <br /> u u x x 1 u n 1 n x x u m u x x x n u x x x o x"x x x u m 10x x Ill [ I <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(1O)working days after submittal date. Required onsite,Construction Pla��Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _) <br /> COMMERCIAL ��nh(��oomp|� �as� ofBui|dinDP|anap|uuaUfe8o��PaQa;(1)antofEnnrgyF� s.R,C-�V' enmitfornewc'onntruoUon. <br /> Minimum ten(1U)working days after submittal date. Required uns|to.Construction Plans,Stormwater Planev/§I\t 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 /> ""PROPERrY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&[untradnr sign back of application,notarized <br /> If over*2*Vo'a Notice pf Commencement inrequired. (AC upgrades over$J5O0) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing* same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Raroofs if shingles Sa*nm Service Upgrades A/C Fenmm(P|oK8umey/Footagn) <br /> Driveways-Not over Counter if on public modvays..noedo ROW <br /> ! . <br />