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Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> a a a 9 a a nJ. acR rE & V r. ei a R R 2r I II $ € a e V'vE it x S <br /> Owner's Name `'� �. �, n C�?' L., ,r Owner Phone Number �3" - <br /> Owner's Address �CU�,:r l l 'f 1 '" <br /> "1 - . L� Owner Phone Number <br /> Fee Simple Titleholder Name /14 Owner Phone Number <br /> Fee Simple Titleholder Address WI-A 7 <br /> JOB ADDRESS 01�3 ^; -�� /J'Gv G_1: 1. ' �i s �I /IJl �C � J / LOT# <br /> SUBDIVISION 1 , 1 'f .✓�'� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM �� OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK �'r' /�r /�L L/ /(ii'I/ /� <br /> BUILDING SIZE G(/ V� 1 5Q FOOTAGE Fa_ <br /> J6- HEIGHT <br /> =BUILDING $ ///� f O� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ n/, OD AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS /�/ / FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY +i <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address ` p,) License# <br /> OTHER COMPANY U��U�G� i/, <br /> SIGNATURE REGISTERED Y/N FEE CURREN �Y/N <br /> Address ) / ��� License# <br /> 0Ma9 £i.H $ E9aE.Q III R9111I- <•€ 9 aUa99E-9a9a999959 -3ii9a [9- 5El9URgo99a [Iat <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 />