Laserfiche WebLink
buaoing uepartment <br /> ate Received' <br /> _II IJ a—a_a a_a Phone Contact-for Permitting U " ) ' <br /> wner's Name �i i �� � 'U l C C��"NL )Gr.II c L�G Owner Phone Number t� `"l��"P✓) hj <br /> wner'sAddress C-Le1r2S, Fal4iilqu_rL �1-� iV 'Urb1fQ/,z� L Owner Phone Number <br /> ae Simple Titleholder Name / Owner Phone Number ' <br /> ae Simple Titleholder Address /A <br /> DB ADDRESS 'J�l. : D�UJ rU hlI S LOT# <br /> USDIVISION QIJLfJ t/ J�"S� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IORK PROPOSED ® NEW CONSTR R <br /> ADDiALT Q . SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> ROP08ED USE. ® SFR. 0 COMM OTHER. <br /> YPE OF CONSTRUCTION BLOCK Q. FRAME STEEL . Q <br /> JESCRIPTION'OF WORK <br /> .� 1"p I1 SQFOOTAGE Ip�7J. i 11 <br /> IUILDING SIZE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE ; PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING Is <br /> =MECHANICAL $. /� t0—] VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> -INISHED FLOOR ELEVATIONS q/ / FLOOD ZONE AREA =YES NO <br /> i <br /> 3UILDER l COMPANY �L� f l!. CVIVLi LLC� -" <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address O<r AS rC�' r [(��lll/e�i t G,3 License# <br /> 3LECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LILN FEE CURREN <br /> Address License# �C. 3 �7 eJ <br /> PLUMBER COMPANY l <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address " 31_3;3/��3- . /��r�GLC�Yi1Z/,FL�L�7��J License# <br /> MECHANICAL COMPANY /IIla�T�1t5 <br /> SIGNATURE REGISTERED YIN FEE CURREN LY/N <br /> Address License i�GrLtvYl RSCa),FL 3"cj(o(p� License# <br /> OTHER COMPANY 16W,61 P C067fi aG <br /> SIGNATURE REGISTERED LY/ N FEE CURREN Y/N <br /> Address fiW i T4 License# Ll <br /> oertees .e_aeeaQaaae—aaaui: aaase � t � aasaaaoaiEaQaaaaaoa >treaaltslaalwaaetasaaa <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 Foams.R O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. .Required.onsite,Construction Plans,Stormwater Plans wl Slit-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 /> 1 <br />