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~` Permit eFmit Application ������OO <br /> ,,te Received Phone Contact for Permitting <br /> Owner'sName owner Phone Number <br /> Owner'sAddresd 3S owner Phone Number <br /> fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address-, <br /> JOB ADDRESS E��wo broaal <br /> Building Department <br /> SUBDIVISION KD# <br /> vvoRKPmoPQaEo/' waw CON sm ADD/ALT �--� SIGN F--� F--\ DEMOLISH <br /> INSTALL [ ] REPAIR <br /> PROPOSED USE [--1 aF� F—1 COMM [--� OTHER <br /> TYPE OF CONSTRUCTION [—��' BLOCK [--1 FRAME �---1 8TEEL F--1 <br /> DESCRIPTION OF WORK F �Z -I IQ Za 6L4_nnL_ (:;--IJ Sa± <br /> BUILDING SIZE SQ FOOTAGE P��1153,qf-HEIGHT <br /> �-- 8�|L�|�G l <br /> �--' VALUAT0NOF TOTAL CONSTRUCTION <br /> [--�ELECTF0C�L AMP �--1 PROGRESS [--1 YY.R.E.C. <br /> ___- <br /> / <br /> =PLUMB|NG <br /> =MECMANICA VALUATION OF MECHANICAL INSTALLATION <br /> �—� <br /> r-�� --- <br /> GAS L�� F�OBNn SPECIALTY F--� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - <br /> Bu<LoER COMPANY nc <br /> SIGNATURE REGISTERED ' FEEcuRREN <br /> Address Ucenno# <br /> ELECTRICIAN COMPANY <br /> ELECTRICIAN <br /> SIGNATURE nEa/orEnEo ` FsEoonns^ — <br /> Addmos <br /> PLUMBER COMPANY <br /> SIGNATURE F use/xrsxeo 'pesbuxnzN <br /> . <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED �� �� <br /> Address <br /> OTHER COMPANY <br /> nss/ars��o - <br /> SIGNATURE rs— <br /> Addmss Licenaa# I cc <br /> x u u n n u x x x m e I u x x x x x m m u x u x`x x x a m 101 x x x D u V x x x x o u I I m <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/Slit Fence installed, <br /> Sanitary Facilities&1 dumpater;Site Work Permit for subdivisions/large projects _) _ <br /> co Vx��s��� ' AUaohCg complete s�sof Building Plans plus aUfaSo��Page;(1)set ofEoe�yF��me.R'O�V� permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onude.Construction Plans,Stormwater P\mnav/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requir6ments"must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered P|bno. <br /> °"PROPERTY SURVEY required for all NEW construction. <br /> . <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> If over*25n0,a Notice of Commencement mrequired. (AJC upgrades over*75VU) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letterfrom owner authorizing' same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Roroofs if shingles Sewers Service Upgrades A/C Fanoem(P|ubtSumey/Fontago) <br /> Driveways-Not over Counter ifun public madvayn'naedoROW <br /> ' <br />