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- ---' utyof ZeohYrhi)\s Permit Application Fa»818-780-0021 <br /> . ' Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TWaholder Address <br /> JOB ADDRESS <br /> SUBDIVISION &�ARCELID#F�� ?-S� <br /> / (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wowcomSTR AoDIAL[ �--1 SIGN F--| F--� DEMOLISH[—1 INSTALL [—1 REPAIR <br /> --- --- —�— <br /> PROPDGEDUnE �—� SFR �—1 COMM [---| oTHER <br /> TYPE OF CONSTRUCTION T--2— BLOCK F—1 FRAME �--1 STEEL F—� <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE S' Q FOOTAGE HEIGHT <br /> [__1BUiLD|NG VALUATION OF TOTAL CONSTRUCTION <br /> F--lELECTFU(AL AMP SERVICE F--� PRDGREG8ENERGY �—� YY.R.E.C. <br /> F--lpLUNB|NG <br /> &��V <br /> F--lMECHANICAL ' VALUATION OF s1bMECHANICAL ����'~— <br /> �� ~ m ' <br /> [--lG/%S ROOFING" F—� � SPECIALTY [---1 [THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY utdgn Inc. <br /> SIGNATURE nEG/mrsneo <br /> Address Uconae# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nsouTEnso <br /> Address <br /> ` <br /> PLUMBER COMPANY <br /> SIGNATURE nEoImrEnso <br /> � <br /> AddressUn�a # <br /> MECHANICAL <br /> COMPANYo <br /> SIGNATURE nsoIarsnso <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE ns�/�smso <br /> . FEE CURREN ____ <br /> Address Ucon e# <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 wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _} <br /> COMMERCIAL /�ach(2)complete oe�nf Building Plans plus oL�*Gs��'Pagn�(1)n��ofEneq�Fvo.R'[-N` orm|t0ornemconotruobon. <br /> Minimum ten(1O)working days after submittal date. Required onnihe.Construction Plans,Stormwater Plans w/�U Silt Fence in�o||od. <br /> SandaryFa�|�om&1dumpotnr.Site VVorkPonn��xoU new pn4nd�./A\oommeo�a|no |u\rbmentim��meet comp|iooce <br /> SIGN PERMIT Attach(2)sets of Engineered Pks, <br /> **°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$c5oo'a Notice cx Commencement isrequired. (AJC upgrades over$T5UV) <br /> ~° Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Remofsifshingles Sewers Service Upgrades A/C Femueo(P|oU8ummy/Footage) <br /> Driveways-Not over Counter ifoo public modvays..nondsROW <br /> / <br />