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ate Received Phone Contact for Permitting � - <br /> wner's Name t'"�i.i tC �: U il'1 C L��' )GLIB (!Z(✓ Owner Phone Number 1 2).- <br /> wner'sAddress ' FQ. �Il�jic)G' �/ ( ivLLbllL+� L Owner Phone Number <br /> ae Simple Titleholder Name / A Owner Phone Number <br /> ee Simple Titleholder Address WA <br /> OBADDRESS f��G� z�GCds �f'/��7�C��j✓ LOT# <br /> UBDIVISION QUIT S �oSGU PARCEL ID# D -�CL�' l-..DI�DT/DDD�'Q�DD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> dORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> ROPOSED USE ® SFR. 0 COMM u OTHER <br /> YPE OF CONSTRUCTION Jf] BLOCK Q FRAME STEEL Q <br /> IESCRIPTION OF WORK I cJ LIUn 5u �iN <br /> WILDING SIZE SR FOOTAGE � HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1l D AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ �rr' OD] 07 (0 <br /> �I.L(Le �I�GCGtI <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> -INISHED FLOOR ELEVATIONS 1t ,f FLOOD ZONE AREA OYES NO <br /> 3UILDERA COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address r'/0��9i /16�t tt i Jt/�%1�/�L[�l i 3 j License# 6 7'a L,,vA Qf <br /> ELECTRICIAN COMPANY �- <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Y/N <br /> Address. � � •r ' L 1f.2- ��/YGTj �/)�2, L. � r' ' <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address '�/ 3 Liicensre# ( ,(� <br /> MECHANICAL COMPANY /17arf ' A' C��L/11�1l19ii� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> L�/3 I7Grttl3�' Sul, ,FL 3 c1�!�? (/1-4 ( � <br /> Address ` license# jf <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address /•1q:314/7///� D f ) fa'�/G/? _�FL,T97mj License# I <br /> aa0a00 .00a011900000000a091a0000Oa090a0009aa0019a910a0aa11aaa000aa0000a <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 /> Dlrections: <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 />