Laserfiche WebLink
Viiy vi" _wpi Iyi i imo rri I I IR r'1LJVin cIuVl 1_ r an-u w-r w-vu�r <br /> Building Department <br /> )ate:ReceivedLO� ) of <br /> Phone Contact for Permitting /3 <br /> )wner's.Name PL4_1 k C "I o m t Cv P A( t. (-LC-, Owner Phone Number <br /> ).wner's Address 2lrlr 2 S, Fa lien bUr� 0/. ilvad l2j t] L Owner Phone Number <br /> 'ee Simple"Titieholder Name !� Owner Phone Number <br /> °ee Simple Titleholder Address, <br /> i08 ADDRESSZoe ( LOT# <br /> iUBDIVISION DW��D SSG'D PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED. NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> Pq INSTALL R REPAIR <br /> )ROPOSED USE FX_J SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL Q <br /> )ESCRIPTION.OF WORK. IZ:NJ <br /> WILDING SIZE �� SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ 17 g AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C." <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION. <br /> =GAS Q ROOFING 0 SPECIALTY Q OTHER <br /> =INISHED FLOOR ELEVATIONS / / FLOOD ZONE AREA =YES NO <br /> 3UILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address A5; 4� ,t141e4 W1R-,339VJLicens'e # NX. <br /> � <br /> LECTRICIAN COMPANY 5 T ad w !/� <br /> 316NATURE REGISTERED Y/ N_J FEE CURREN <br /> Address ! / L License.# E� 3?�5 <br /> PLUMBER J COMPANY �J� / �✓'�/ <br /> SIGNATURE ,,/ �i�, // ' f ,,,// REGISTERED Y/ N FEE CURREN <br /> Address: 3!33/I/� 37 (j�/r�Gbu v�.1��L31,�785' License#: l ya�a�:-7 <br /> MECHANICAL COMPANY =/W/7 '/f/'t 6)W/hAit�6 f'I <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN <br /> R/3 ne,1 �� ash►,FL 3Cl ,&-7 : <br /> Address License# <br /> OTHER- COMPANY <br /> SIGNATURE REGISTERED Y/ N" FEE CURREN <br /> Address; - "l gel�/7/!;? A) W D/?` iGh 1 FLI 3 License# <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 Foims:R-O-W Permit=for new construction: <br /> Minimum ten(10)working days after"submittal date. Required onsitee,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 back 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 /> r' <br />