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Building Department <br /> ate Received � Phone Contact for Permittin <br /> 1wner's Name ��r.l CC �` UIl'l� GG'IA XI.0 c. LZ Owner Phone Number l <br /> 1wner's Address c1� 2 S' �Gi, II Ill�t G >�/ iVl?Cbl tP(I� Owner Phone.Number <br /> ee Simple Titleholder Name / A Owner Phone Number <br /> ee Simple Titleholder Address !A <br /> OB ADDRESS �!� �D r �/i LOT# Q7 <br /> iUBDIVISION OGr,'�S V �dt�l:U PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> PORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE ® SFR. 0 COMM OTHER _ <br /> YPE OF CONSTRUCTION BLOCK = FRAME STEEL = <br /> )ESCRIPTION OF WORK <br /> IUILDING-SIZE �!/ SQ FOOTAGE HEIGHT_ rI'Ar"--- <br /> =BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.• <br /> � ��� D� a o <br /> =PLUMBING $ I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY O OTHER <br /> -INISHED FLOOR ELEVATIONS q J FLOOD ZONE AREA OYES NO <br /> 1/�/1 O� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y//N <br /> Address 4k 5f t4 (lbkart If���leC!>) %33 J License# 1 616c/!�a"' ,M <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE y REGISTERED Y/ N FEE CURREN Y/N <br /> Address b Z Scc .l L 6GG (iJGY; a/"J" i L License 2, <br /> PLUMBER COMPANY off)' c 1 Dom <br /> SIGNATURE j�REGISTERED Y/ N FEE CURREN /Y1/IN. <br /> Address 31�3�° •�i- 1jWilda ,FL�"P��J� License# �C� 6/ �7�7,;� 7_7 <br /> MECHANICAL COMPANY W&4S fir <br /> SIGNATURE: REGISTERED YIN FEE CURREN Y I N <br /> R/3 i>Gr�taYl d5za Address 1,FL 3 c/(-677 License# 7 3 <br /> OTHER COMPANY <br /> SIGNATURE- REGISTERED Y/ N FEE CURREN Y/N <br /> Address 1 Arvin or ecJ. 'Ur?` iG/7 FZ,J� License <br /> aaaaeA .aade >IAailaea"aaceualfee � aiiatlaaOotlnlleaaeeAoaa >IacAaAQAsaaAdAasAa >iA <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 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 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 />