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F������ <br /> u�/OfZoo Permit Application <br /> � Building Department <br /> . ` <br /> Date Received 7 ] Phone Contact for Permitting drix or+tn-C-6m <br /> inc- Owner Phone Number <br /> Owner's Name <br /> Owner'sAddressi Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SUBDIVISION E, R�o4ARCEL ID#F%_,:i- zs- t)M, 6 lsr�o oCRIL*) <br /> (6e1AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> Er' INSTALL E REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OFCONSTRUCTION F--]° BLOCK [—� FRAME �--� STEEL <br /> DESCRIPTION OF WORK ZO <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BU|LD\NG t s r=lb VALUATION OF TOTAL CONSTRUCTION <br /> �--lEL�(�7�\ . A�P�E�V|OG �--1 P��G�E�GENEREY �—� YY.R.E.C. <br /> �__' <br /> =PLVMB\NG L/ <br /> �--l�ECHAN|��� VALUATION__- ��' <br /> F--�GA� ��l ROOFING' �—1 SPECIALTY OTHER <br /> OTHER <br /> ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER COMPANY u2L�n inc. <br /> SIGNATURE nsm/nrsnso LY/_N_� FEEc"RR E~ L ��_� <br /> Addressuoansa� <br /> ELECTRICIAN CqmpxmY <br /> SIGNATURE REGISTERED NL psscunnEN LY/N_� <br /> Address License# <br /> P�u���� u��P�0Y <br /> SIGNATURE REGISTERED LYLN FEEnunnsN L7IN � <br /> . <br /> Address U��o# <br /> MECHANICAL COMPANY <br /> SIGNATURE REo/srsnso ` LV2_N_ pssoueneN`/ <br /> Address License# <br /> OTHER C-) J s <br /> ooMpAv, <br /> SIGNATURE REGISTEREDLY1 N peEouRRE^ LY/N -1 <br /> Address License# <br /> RESIDENTIAL Attach Cq Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onoi\a.Construction P|sn�,Gharm*ater Plans v/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _) . � <br /> COMMERCIAL A�/ch(�)oomp|a{oo�an[8uUdingPienopluna��Gmh�/Poga�(1}�etofEn��yFc��a.R,��VPo��itfocnemnonstruction. <br /> Minimum ten(10)working days after submittal date. Required onsita.Construction Plans,0o nrp\ansvlq8tFanoainsta\\od` <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 p|'ano. <br /> ~^°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out applicaticn complotely. <br /> Owner&Contractor sign back nf application,notarized . <br /> If over$2son.a Notice ofoommencumuntisrequired. (Vc upgrades over$750O) <br /> ^° <br /> Agent(for the contractor)or Power ofA8ome�(for the owner)would bo someone Withnotobznd letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Rmmofs if shingles Sowers Service Upgrades A/C Fenmsa(P|ottGumey/Footagn) <br /> � <br /> Driveways-Not over Counter\fon public modvays..nnedsROW <br /> , <br />