Laserfiche WebLink
-- uityCtZBphV[hil!8 Permit Application Fo»813�8o�O21On <br /> Building Department <br /> bate Rec�ived F_ :] Phone Contact for,Permitting <br /> Owner's Name C_ Owner Phone Number �S\� <br /> Owner's Address Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> auBoPmaKON ��k4ARCEL ID# (OBTAINtD FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COmSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL �_] REPAIR <br /> PROPOSED USE [--� GFR [—� COMM T---\ OTHER <br /> TYPE DFCONSTRUCTION �—]� BLOCK F—� FRAME [---\ GTEELBUILDING SIZE F--1 <br /> DESCRIPTION OF WORK IQ to 7,18 ex <br /> NJ <br /> � ' <br /> =BV|LD!NG VALUATION OF TOTAL CONSTRUCTION <br /> F--lELECTR|�AL AMP [--� PROGRESS ENERGY �—� YY.R.E.C. <br /> ���� <br /> =pLUMa\NG <br /> �E�HAN|�A� <br /> [--� VALUATION OF MECHANICAL INSTALLATION <br /> F--lGNS [�7� ROOF\NG* F—� � SPECIALTY �--1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nso/ensneo �—� <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ese/cnenso <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE neeISTsnso <br /> . <br /> AddressUcanne# <br /> MECHA0lCAL COMPANY <br /> SIGNATURE neoIarsnso <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE nea�neeso <br /> FEE CURREN <br /> Address License# <br /> REG|DENThuL A�cb��PktP�nn;'�4s�sofBuUd�gP�na|�)��ofEna�y Forms;R'O4VPenn�for new nono�u�on. <br /> � Minimum ten(1u)working days after submittal date. Required onsite,Construction Plan�Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81dumpshar;Site Work Permit for sohd|viaiono0orgoprojects _) <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus aLife (1)set of Energy Fc'rms.R-O-W Permit for new c onstruction. <br /> Minimum ten(1n)working days after submittal date. Required vnuihe.Construction Plans,Ghunnvm�er Plans vl Silt Fence\n�aUmd <br /> Sanitary Fad|iUeo&1dumps�c Site YYorkPemo�for all new puged � <br /> o.4J|oommonc|a(noqu|h»moomusimaotoomp|lanue ' <br /> SIGN PERMIT Attach(2)sets of Engineered P|bno. <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*esoo'a Notice of Commencement mrequired. (AJo upgrades over$75OO) <br /> °~ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing' <br /> same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofs if shingles 8ewam Service Upgrades A/C Fences(PioUSumey/FootaQe) <br /> Driveways-Not over Counter ifnn public med*aye..needoROW <br /> / <br />