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— - -~ uity otzephyrhiUGPermit Application 3-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name loc- Owner Phone Number <br /> Owner's Address 3S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> auBoK/\e|ON <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mewcowsrn AoOA\LT [---1 S\Gw �—� �—� DEMOLISH <br /> E�' <br /> INSTALL �_l REPAIR <br /> PROPOSED USE 7--1 SFR F--1 COMM F--� OTHER <br /> TYPE 0FCONSTRUCTION E-2- BLOCK �—1 FRAME [---1 GTEELSQ FOOTAGE HEIGHT <br /> BUILDING SIZE �n�_x ff I <br /> F--� <br /> [__1BU|LDING VALUAT\ONOF TOTAL CONSTRUCTION <br /> =ELE[TRI[AL AMP SERVICE F--� PROGRES8ENERGY |--| VV.R.E.C. <br /> =pLUMB!NG <br /> F---l�E�H/�|k�AL ' MECHANICAL <br /> `--- ' <br /> F—�GAS ROOFING <br /> ' SPECIALTY —7 OTHER / �� �� 3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F--lYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LY/ N rEEu«RRE" I Y/N� <br /> xxu,uss unpns:* <br /> ELECTRICIAN coMpmvr <br /> SIGNATURE esG/arenso FcEcunxE^ <br /> A4dmoa uo=nsm* <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED LY/ N pEEruRRsx L��J <br /> Address Linense# <br /> MECHANICAL compmvr <br /> SIGNATURE <br /> nsm/ansnso ` L���L� pscuonmsx» L���_J <br /> »murmss ucenso# <br /> OTHER CumpAm, <br /> SIGNATURE nsa/arsmso LY/ NL_| Fssuunnsx L_l N�� <br /> ' <br /> Adurm, Licanue# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets uf Building Plans;(1)set of Energy Forms;R-O4m 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 dumpater;Site Work Permit for subdivisions/large projects _) <br /> COMMERCIAL Atffich(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 nno\ta.Construction Plans,G\onnwmter Plans v/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster:Site Work Permit for ail new projects.All commercial requirbments�must meet compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered Plans, <br /> =^°PROPERTY SURVEY required for all NEW construction. ' <br /> F0 out application completely. <br /> ^ <br /> Owner&Contractor sign back ofopp|iootion.notarized <br /> |f over$25Oo'a Notice of Commencement iarequired. (AIC upgrades over*75DO) <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 /> Remofsifshingles Sewers Service Upgrades A/C Fonoeu(Plot/8umey/Fuotage) <br /> Driveways-Not over Counter ifun public mad*ayo.oeedsROW /' � <br />