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to Received r� Phone Contact for Permitting <br /> U IL 11 <br /> n__11 9 a a a u U 11 <br /> vner's Name pit.)•�c 401T)-c N r )(1.1)`. Owner Phone Number - <br /> II 1' <br /> vner's Address c"b:Z`4' ��-1�L�11�jGtj�' J ( 1V��+r)Ii�.tD L Owner Phone Number <br /> !e Simple Titleholder Name T/A Owner Phone Number <br /> e Simple Titleholder Address !A <br /> 16 ADDRESS �/ �Vu ��il l�/�l�ISJ 61 LOT# <br /> t13D1v1Slo1V 07, Q ��"SC'U PARCEL ID# 041 <br /> -Ulo`o-avoo - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ORK PROPOSED e NEW CONSTR 8 ADD/ALT 'SIGN DEMOLISH <br /> INSTALL REPAIR <br /> ZOPOSED USE ® SFR. 0 COMM u OTHER <br /> !PE OF CONSTRUCTION Z ' BLOCK 0 FRAME STEEL Q <br /> ESCRIPTION OF WORK G�. �"�() ! (:�G" SIB (C 1-"aAl/ <br /> UILDiNGSIZE U /� �/ l SQFOOTAGEfyl/ HEIGHT <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ry a7,� pn AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> l JvJ (1 EtJVLIL6 2..I)6CC�L <br /> 0 PLUMBING $ /)('=10 <br /> =MECHANICAL $ { [ / /1()o VALUATION OF MECHANICAL INSTALLATION / - <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> ;INISHED FLOOR ELEVATIONS J FLOOD ZONE AREA AYES NO <br /> 1-11 ally <br /> WILDER COMPANY l� � �f[ 4" eC. C.,•rl�1wx1I ; GLC� <br /> 3GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> .Address �rG��i/��� � ll��Gl�' �, /�GC�I�Lr3�J� ` License# �lJ��u��' •t�f� <br /> ELECTRICIAN COMPANY c.1r64 <br /> HGNATURE REGISTERED Y/ N F FEE CURREN Y/N <br /> Address License# 5, <br /> 5-LUMSER COMPANY <br /> >IGNATURE REGISTERED YIN FEE CURREN <br /> Address 313.r3/y� ?�T �j G jr�( CGr,FL 31�7 J{. License <br /> SIGNATURE MECHANICAL COMPANY Ifl�� 706 <br /> REGISTERED LYLN J FEE CURREN Y/N <br /> .(� LP&7 License# ? <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Y/N <br /> Address l�J�Gi//� l �G'} k/t !G/7Gc al 3 License# TO/Tg� <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/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 Fomtis.R O-W 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 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 /> Directions, <br /> Fill out application completely. <br /> Owner&Contractor sign hack of application,notarized <br /> If over$2500,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 />