Laserfiche WebLink
<br />Building Oepartment <br /> <br />Dale Received <br /> <br /> <br />FL If/'f( <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Tllleholder Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />I U;Sc)Lf ~,(Pl.l(., ~d\ca_\ \Ji~ LnxvL- I-oT ~ <br /> <br />I~A..,L.~Q/Y ~d ?N~e)S~ <br />L~~ 11\ <br />r>Cl NEW CONSTR c=J <br />D INSTALL CJ <br />PROPOSED USE D SFR ~ <br />TYPE OF CONSTRUCTION !Xl BLOCK D <br /> <br />DESCRIPTION OF WORK I S ke" \ \ f)" ~V <br /> <br />BUILDING SIZE I ~Q FOOTAGE I S<-f q 3" <.:. HEIGHT I <br />TII'IIIIIIIIIIII'II'IIIIIIIII'I'IIIIIIIIIIII'IIIII'III'11'11"111111'111'1111111111'111111111111'1111111111111111111111111111111111111111111111111 <br /> <br />JOB ADDRESS <br /> <br />lOT # <br /> <br />SUBDIVISION <br /> <br />PARCELlD# I 0 l-}.fo ' :<> I ~ D) 90 {} 0('>(,)0. ,)0 L 0 <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE 0 <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />J:Kl <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />~n rll'S L0\ I \ lZ\\6Y-'l <br />I Y / N I FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Nol over Counter if on public roadways..needs ROW <br /> <br />JV <br />~ ~~\\~~ ~~ <br />