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Building Department <br /> Date Received Fig).isq - QUM, <br /> o.n.e.Name ANn4OMq "rkNAN owner Phone Number N -7)319-5-170 <br /> o,,;.e.Add,.1-7 1,S-3 BOXER P 0 U N b P L Owner Phone Number <br /> �Fee Simple Titleholder Name Owner Phone Numb <br /> e <br /> r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1-7 K'53 BOYLES P()12616 PL, ZEPOVRIIC LOT# <br /> SUBDIVISION ISFIA/CR-W RANG PARCEL t0#13 2-ZS--1)-0100 0 1 f 00-0 6-7 0 <br /> (OUAINEID FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEWCOMM ADDIALT r1pi SIGN F-1 M DEMOLISH <br /> R INSTALL El REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER I TYPE OF CONSTRUCTION BLOCK FRAME STEEL = I <br /> DESCRIPTION OF WORK crr ig pV ordi pp PAN oc gqsreq. I <br /> BUILDING SEE II SO FOOTAGE HEIGHT <br /> . . . .. . . .. . . . . . . .. . . . . .. .. .. . .. . . . . . . . . . . . . . .. . . .BUILDING 1Sq/ . 0 L <br /> 00q VALUATION OF TOTAL CONSTRUCTION <br /> s I <br /> E6LECTRICAL AMP SERVICE PROGRESS ENERGY r7 W.R.E.C.tP- 1 o <br /> 'ff <br /> "PLUMBING Is <br /> "MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION 4k St Y� <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> IVNIMTROC 19P UVaQPf-W <br /> COMPANY BUILDER SIGNATURE REGISTEED R I Y/ N I FEEGURREN I YIN <br /> 'Address F5, -JZQ--W-A,4NMA -AVr. UcenSe#1F--r-t3on(-07q0 <br /> ELECTRICIAN COMPANY [V�Vr SO Lniq hrve"10 - <br /> E��:: I Y/N I SIGNATUREZ :1 REGISTERED I Y/ N I FEE CURRO <br /> Address I've 0 W. "nlyknq q Vic 1 U=se#IQ--i3onw1L10 <br /> PLUMBER COMPANY = I <br /> SIGNATURE REGISTERED I YIN FEECURREA LZIN J <br /> Address I License ffi <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I YIN FEECURRB LMLNLI <br /> Add. License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN I FEECURREN L_LLN J <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction. <br /> Minimum ten(10)working days abrsubmftl date. Required onsite,Construction Plans,Stormwater Plans vil Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionaflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus.a Ufa Safety Page*.(1)set of Energy Forum R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormwater Plans w/Bill Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sots 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 /> It over$2500,a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agek(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 />