Laserfiche WebLink
<br />Date Receiived <br />11111111111 <br /> <br /> <br />Owner's Name L-aa; C C tL zA- ~wner Phone Number <br /> <br />Own.'SAdd";S I 3~ J~ ~ ~VJh ()vfI-, ~lt.-~~'''Numbe,1 <br /> <br />Fee Simple Tit! holder Namel _~ :J Owner Phone Number I <br /> <br /> <br />Fee Simple Titl holder Address I :5tt me. <br /> <br />I YI/31 Ke/fjb1onfj~rlh Fi-3~d-- I LOU I 75 <br />eJJarlfs -/en tJak; ~ 1 PARC:L 10#1 tJ:;-;;l.k;-;2..l-tJ2'ttJ -tJlJ&41-do<E( 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />m NEW CONSTR ~ ADD/ALT D SIGN D MOVE D <br />LJ INSTALL D REPAIR <br /> <br />PROPOSED US D SFR ~ COMM D <br /> <br />TYPE OF CONS RUCTION D BLOCK ~ FRAME D <br /> <br />.In <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPO ED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br /> <br />S?;) , <br /> <br />OTHER I <br />STEEL D <br /> <br />E: Vlc..-I os. Vlr~ <br /> <br />t/J HEIGHT I <br /> <br />OTHER I <br /> <br />GAS <br /> <br /> <br />1$ <br />. 3'7 550 .CSD <br />1$ <br /> <br />1$ <br /> <br />1$ <br />D ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br /> <br />,,- <br /> <br />~ <br />~ <br />[)S] <br />D <br />D <br /> <br />ELEC RICAL <br /> <br />W,R,E.C. <br /> <br />PLUM ING <br /> <br />_ Q0~ ~(~ \O~Q. <br />\J~Q..+'<..N--.~' <br />, ' ---0:;;. ,,_~ <br />VALUATION OF MECHANICAL INSTALLATION f\' \ '<n<1 - et~' ~ <br /> <br />SPECIALTY ~ OTHER ~ () 1 6.."\"")'\~(," zG~, - (f5.~ <br />FLOOD ZONE AREA DYES ro'1NO ~ ~ ao <br />~ ...\ <br /> <br /> <br />FINISHED FLOO ELEVATIONS I <br /> <br />Address <br /> <br />l1ii~ 1~~RE~TS~N~') hc..1 <br />License # IC-P~/~h rS-7 I <br />I ~~ F~~~N~/Y6JN I I <br />License # I ('HC./~/ ~g-/ 5 I <br />I fr!1;~ fkfc~RENT I Y/N I I <br />License # I (! 1c }'/)bQ57 I <br />I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE: <br /> <br />Addres,s <br /> <br />License # I c. R r!.. 6 if::2 LfCf7{ <br /> <br />RESIDENTIAL <br /> <br />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 onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />Attach (3) 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 />Sanltary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />AttaCh (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCI.AL I <br /> <br />SIGN PERMIT <br /> <br />111111111111 <br />Directions: <br />Fill out C1pplic tion completely. <br />Owner & Co ractor sign back of application, notarized <br />If over $250 a Notice of Commencement is required. (A1C upgrades over $5000) <br /> <br />Agent (for th contra~tor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE C:OU ER P~RMITTING (Front of Application Only) <br />Reroofs sew~rs Service Upgrades NC Fences (PloVSurvey/Footage) <br /> <br />DrivewiIYs-~ t over Founter if on public roadways..needs ROW <br />