07-6852 - Laserfiche WebLink

Browse Search

U I \.r I vV-Vu,"u vllY UI L.t:IJIlY 111111::> r t:11111 L MlJlJlIl.id LIUII Building Department , ~v~i6Y Date Rec':!ved \ Owner's Address t=i.d..~..-~ '\ ~~-=S~ \J Fee Simple Titleholder NamJ I I Fee Simple Titleholder Addres. I I~I\~ \D~\\r\nM. I LOTti ~~3 I PARCELID#I3\~~\ '(x)\CJ~~--cJt2i::)3 I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D 1\\\0~ ,\'Y.~ " OTHER I Owner Phone Number Owner Phone Number I Owner Phone Numb~r I Owner's Name JOB ADDRESS SUBDIVISION DESCRIPTION OF WORK o DEMOLISH WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION . I . , 1$ I 1$ I D ROOFING 0 AMP SERVICE D PROGRESS ENERG~ ~(~ ~m NOe- / D PLUMBING D D MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS SPECIALTY D FLOOD ZONE AREA OTHER ELEC SIGNATURE Address FINISHED FLOOR ELEVATIONS DYES DNO License # Y/N FEE CURRENT License # YI N FEE CURRENT License # YI N FEE CURRENT License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Addres. I COMPANY REGISTERED Y/N COMPANY RliGISTERED Y/N "1111111111 f 1111111111111111.1111 ~'III'!. ~ II' P ~ 1 nl~.,.n;~ 11.: !I, ~'1111,111111 ~ 1I11 !,II,IIIIIIIIIIIIIIIIII ',1111111"" 111111111111 J I fill' 111111111111111' III RESIDENTIAL Attach (2) Plot Plans; (2) sets of BuildIng Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL , Attach (3) sets of Building Plans; (1) ,.t of Energy Forms. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plan.. ....PROPERTYSURVEY required for all NEW construction. I I ~ . . I I I I I I I I I I & ~ I I I I I I I I I I I I I I I I I & & I . I I I I J I . I I I II I I J , I '1 I I I I I I , I J I I I I I I & . . . I I I I I I I I I I I ~ II & I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I , I I j Direction.: Fill out application completely. Owner & Contractor sign back of appllcaUon, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades Ale Driveways Fences (Plot/Survey/Footage)