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Lte.Received <br /> �-- Phone Contact for.Permitting� ) -- <br /> uner's Name 4-o m-c lilt r )Gl Owner Phone Number <br /> vnees Address CWkpl bl 1(G 0 1 O 1 U ad i eto Owner Phone Number <br /> e Simple Titleholder Name 0+ 4 Owner Phone-Number <br /> e Simple Titleholder Address -WA <br /> Ig ADDRESS Lf'` "/ I�GL(i(�r(ft(/t/ �1 VC /l6J 33 LOT# 9'7 <br /> ISDIVISION 1�5 Ja G PARCEL ID# DIoC D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ORK PROPOSED Fj NEW CONSTR ADD/ALT l--J SIGN 0 DEMOLISH <br /> INSTALL 8 REPAIR <br /> 1OPOSED USE SFR. = COMM yL OTHER <br /> 'PE OF CONSTRUCTION BLOCK FRAME L � STEEL [� <br /> ;SCRIPTIONOFWORK <br /> JILDING SIZE /r 0 SQ FOOTAGE HEIGHT k r <br /> =BUILDING $ // VALUATION OF TOTAL CONSTRUCTION <br /> .tY- - <br /> =ELECTRICAL $ ©O AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ //,, <br /> FJ• OV <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> =GAS Q ROOFING = SPECIALTY OTHER <br /> INISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> MILDER COMPA14Y <br /> ;IGNATURE l REGISTERED Y/ N_j FEE CURRO, Y/N <br /> Address ���� �� via ( License# of <br /> iLECTRICIAN COMPANY J Cif=� f <br /> iiGNATURIE REGISTERED Y/ N. FEE CURREN <br /> Address r-� � -•-- <br /> License# �W f �� <br /> )LUMBER COMPANY <br /> >IGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> 'Address 31 z/,FL� 7$ License# F7 e,/qa 7 a-7 <br /> MECHANICALJ COMPANY jfl)-(W 6 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> ld/3 1�Gr�• /=iT1:� d�ca1 FL 3�C�Lv�7 <br /> Address f ' License# %. " <br /> DTHER COMPANY AW 61 A'C0e aCf'—�' <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address /•ig31 A-v10 �� ewi pit /�?CG FL,33� License# ��Cf <br /> 9900011 .99a909990900990BB090099990a09B99BBB999009090000909B9099000994 <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 Plan_s;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 far new construction. <br /> -.-Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt 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 /> ****PROPERTY SURVEY required for all NEW construction. <br /> blrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250%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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />