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— --' unyot/ephVrhU\G Permit Application Pox-8 8-7DV-0O21, <br /> Building Department <br /> F = Phone Contact for Permitting <br /> Owner's Name nc= Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> ' ' u <br /> auaDPNsxoN F PARosLUD# <br /> ' (OBTAINED FROM PROPERTY'~~~~~T <br /> WORK PROPOSED F771 mcwcowyrn F7 ADDA\LT F---� SxGN F--� F--) DEMOLISH <br /> INSTALL [ \ REPAIR <br /> PROPOSED USE �--1 ' aFR �-� COMM �--� OTHER <br /> TYPE OF CONSTRUCTION BLOCK �—1 FRAME F---� GTEELBUILDING SIZE F SQ FOOTAGE HEIGHT <br /> F--| <br /> DESCRIPTION OF WORK nesiJercc- <br /> _\J A <br /> ' <br /> | \oU|Uz|Na oNOF TOTAL CONSTRUCTION <br /> F--�ELE[T�CAL AMP SERVICE �--i PRVGRE8SENERGY F—� VY.R.E.C. <br /> ___ <br /> =pLUMBINB <br /> �—��ECH�Nk�AL MECHANICAL <br /> �_� '_-' -_ �� ���� <br /> �—�GAS �-�� ROOFING �—| � SPECIALTY OTHER <br /> OTHER <br /> ���� <br /> ___7FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BU\DzER COMPANY IVNC <br /> SIGNATURE nso/STEnso LY1 rrEcuR:Eu LN_� <br /> xdunoaa License# <br /> ELECTRICIANF e coMpxmY <br /> SIGNATURE "/IRn�o/arssso L��_�_� FEEcumnsx L�l/NLI <br /> Address Limanxe# <br /> PLUMBER > COMPANY &fillr_ <br /> SIGNATURE I nsu/sTsnso LY I l 'pEEuunnsx L�YIN_J ~^ <br /> Adumoo License* <br /> MECHAN|C4L <br /> SIGNATURE ` L-(/'N _] Fsscunnsx [ LI N _J <br /> Address License# <br /> OTHER cOmpmx, <br /> SIGNATURE uso/oreneo 1/_N_] FEeounReI\ L_lIIN _�� <br /> Addn»ss Uuenao# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set nf Energy Forms;R-<]-WPermit for new construction, <br /> Minimum ten(i0)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I 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(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/.Slit Fence installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Kans. <br /> °~°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$25Vo.mNotice of Commencement isrequired. pVC upgrades over*75O0> <br /> � <br /> Agent(fbrthaoontraotor)orPuwerof/Ntxnm�(fonthoownor)vmudbnnnmonnevithnotahzod|etterfrnmowmorauthoridngsama <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofs if shingles Sewers Service Upgrades A/C Fonces(P|obSurvey/Footoge) <br /> Driveways-Not over Counter ifon public modvays'nmodm ROW <br /> ` ^ <br />