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/ <br /> =^''""-u°4v City nfZeohY[hU\GPermit Application Fa»818-780-0021 � <br /> . ` Building,Department <br /> Permitting Is to ecxuc�a <br /> Date Received F_ :] Phone Contact for I i(v_0 <br /> Owner's Name �nc Owner Phone Number <br /> Owner's Address 33 ' 39- Owner Phone Number <br /> Owner Phone Number <br /> -Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> aUsDNm|oN F7pxmcEI Iow <br /> ' (O~'=~~~'~`~'~~'�`''TAX NOTICE) <br /> WORK PROPOSED mawoowSTx mzoA\Or [---� 0aN �—1 �--1 DEMOLISH <br /> INSTALL [�| REPAIR <br /> PROPOSED USE �--1 � aFR F—� COMM [---1 OTHER <br /> TYPE OF CONSTRUCTION ' BLOCK F—� FRAME F---7 GTEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �--�oU(Lo\N� <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> F--�ELECTRICAL AMP SERVICE �--1 PROGRESS ENERGY �—1 YY.R.E.C. <br /> pLU�B|No <br /> [--\ <br /> =MECHAN\'CAL VALUATION OF MECHANICAL INSTALLATION ~ U <br /> =G8G ROOFING' �—l � SPECIALTY �--� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> sV|LosR COMPANY <br /> SIGNATURE neo\nrsnso FsTt CURREk <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Fl=��_ - I nso/��mso " p��nbnREN-- <br /> Address Ziw6Liconne# <br /> PLUMBER <br /> SIGNATURE REGISTERED <br /> Addresd <br /> MECHANICALCOMPANY <br /> SIGNATURE <br /> Address Uconae# <br /> OTHER COMPANY <br /> SIGNATURE nse�nrenso <br /> FEE CURREK ___ <br /> Address Liconse# <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(1u)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 Forms,R-O-W Permit for-new construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite, Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> °**~pROPEFTY SURVEY required for all NEW construction. - <br /> Fill out app|\cativncompletely. � <br /> Owner&Contractor sign back of application,notarized <br /> |f over$2soo.a Notice qv Commencement isrequired. (A/C upgrades over*75OV) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofsifshingles 8oweno Service Upgrades A/C Fancem(P\oU8umey/FootaO6) <br /> Driveways-Not over Counter ifon public madvays..nsadnROW * / <br /> . . . . <br /> ' <br /> ' <br />