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Sudding Department <br /> Date Recohred Eh-210-Contact for Parmittim It 9 13 13 ST4 — 003`4 <br /> 5 a 2 . . 978 1 9 08w ft"ralpoholne"Nulmllb, I Wf qlu 34- <br /> Owners Name At[-s( Hfdbr- 7- <br /> Owners Address l-70L/A ST(,VF0q4b0 TA Nc Bt-9L'Phone lumber <br /> Fee Simple Titiatudder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S-Et 0 C,79.,9 b0 P,19 NCO 13C trb- LOTO <br /> SUBDIVISION FaryceAble A&AYPARCE1.10#[ <br /> (GERAMM FROM PRQPMNTAX NanCE) <br /> WORK PROPOSED NEW CONSMM ADOIALT SIGN DEMOLISH <br /> El NEW <br /> LJ REPAIR <br /> PROPOSED USE p SFR M COMM Q OTHER <br /> TYPE OF CONSTRUCTION p BLOCK E3 FRAME p STEEL <br /> DESCRIPTION OF WORK FTAI�TP 11 A TTQ AJ OF ,012�E-JLIQLAIMb elll 'C171-1-7g 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . .. . . . . . . .. . . . . ... .. . . . . .. . .BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> [RIELECTRICAL AMP SERVICE p PROGRESSI ENERGY Q W.R,I-C. <br /> =PLUMBING S <br /> —7 <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS p ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO Nji <br /> BUILDER' COMPANY <br /> ... wr <br /> SIGNATURE FMG1STEFM I Y/ N I Fmcum-js� LILN 1 <br /> Add. 51AM—kLU MV AIM VC- I u..#["gote?L16 <br /> ELECTRICIAN COMPANY 9=�,-Rr smex <br /> SIGNATURE s. REGISTERED I Y/ N I FMCURREN L_XLN J <br /> Address 1,01-2 W.PRAZAIR P-W. u.#Fri t.3 bou 747 6 <br /> PLUMBER COMPANY <br /> SIGNATURE REGSTERS3 I YIN I FEE CUMUN L_X1 N J <br /> Address License <br /> MECHANICAL COMPANY = <br /> SIGNATUREF REGISTERED I Y/ N I FEECUMREN L ZLN J <br /> Address License it <br /> OTHER COMPANY <br /> SIGNATURE REMSTERIS) I YIN I macuRM LILN J <br /> Aridness License#F- <br /> RES19384TIAL Attach(2)Plot Plans-,(2)sets of Building Pima;(1)set of Energy Forms;R-O-W Permit for now constructlon., <br /> Minimum tan(10)worldng days after submittal data. Required onslt%Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadilifies;&I dumpstar,Site Work Permit for subdivislonsaarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plane plus a Ufa Safety Page:(1)set of Energy Foram R-O-W Permit for now construction. <br /> Minimum tan(10)working days after submittal date. Required onsits,Construction Pima,Stormwatar Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.A commercial requirements must meet compliance <br /> $1014 PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for ad NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . * . . . . . . .Diroetioms <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement Is required. (AC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authori;dng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerooft if shingles sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />