Laserfiche WebLink
F������ <br /> [JtvofZeohY[h\\\G Permit Application <br /> Building Department <br /> Phone Contact for Permitting <br /> 6CAM rx m er ct(6 <br /> Owners Name Owner Phone NU b <br /> Owner'sAddressl 1-z_(Poi_:%",1fCoMbV- -Tam 3�L owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S\a&=D6\J.c 17e nhxkt 11 s, fLa"--d LOT 2 <br /> SUBDIVISION F31 We mcA oPARCEL8z# <br /> . (OBTAINED_ FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COmSTR F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL �_1 REPAIR <br /> PROPOSED USE �—� � arR �—1 COMM �--� OTHER <br /> TYPE OF CONSTRUCTION ~ BLOCK �—1 FRAME F---� STEELBUILDING SIZE SQ FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK �5-jmlp reS-1J#ry__c_ <br /> ' <br /> F--l8U|UD|NG VALUATION OF TOTAL CONSTRUCTION <br /> �--lEL�CTR]�AL ��PGEp�|�E F--1 PROGREGGENERGY F--� YY.R-E�� <br /> ���� <br /> =PLU| B|NG <br /> =MECHAN\CAL �p VALUATION OF MECHANICAL INSTALLATION <br /> F--lGAS ROOFINGr—��' ' �-� � SPECIALTY F--� OTHER �L <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F--lYEG NO <br /> auILDER COMPANY <br /> SIGNATURE mEomrsReD L_YLN_] psecunnsx L_Y/N _l <br /> Address Ucenno# <br /> ELECTRICIAN COMPANY [S:� <br /> SIGNATURE maamrsnso I _y`/_y pE2ounnsx _Y/NL_\ <br /> Address License# <br /> PLUMBER <br /> ' COMPANY <br /> G\GN�VR� p�/��eo MlN1 'FEsCURRItN [Y/NH '�-J <br /> Address <br /> MECHANICAL <br /> SIGNATURE 11(/'N_] FssouRns^ —yfyiN__J <br /> Address Uoense# <br /> OTHER COMPANY <br /> SIGNATURE nsa/arsnso _yi N�] esounRsx [_y!N__�� <br /> Address License# <br /> RESIDENTIAL Attach Cg Plot Plans; sets uf Building Plans;(1)set of Energy Forms;R-O4wPermit for new construction, <br /> Minimum ten(1O)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 aLife Safety Page;(1)set of Energy Forms.R'O4m Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets pfEngineered Plans. <br /> °°°°PROPERrY SURVEY required for all NEW construction, ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> |f over$oaoo.v Notice nf Commencement/srequired. (/VC upgrades over$?5Vo) <br /> � <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OvEQ THE COUNTER PERN�T\NG (copy ofcvnhaotrequired) <br /> Remofs If shingles Sewers Service Upgrades A/C Fenmm(PloVSumeyVFootaQ6) ` <br /> Driveways-Not over Counter ifon public mod*ayo..neadoROW <br /> ' <br />