08-7719 - Laserfiche WebLink

Browse Search

\...IllY UJ ~C;JJIIJIIIIII~ I vi II III. I 't-'t""I_'-""'-" Building D11~~ ~ q Phone Contact for Permitting 1).',j- (UV-vv.:v Date Received Owner's Name NHe-F 1-- - 16 LLG Owner'sAddress 1~lqI6. ~JbWAZoJ 5u>~clo.,le ,A2 g5"2;} I Fee Simple Titleholder Namel I Owner Phone Number )? I Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I !,3843 Lo..i-vd V~JIGj Dn/& Blvd I LOU 11/-/ ~e~t'G ~~ I PARCELlD#12'1-2ftr21 -ODO 6 -C:/)/ DO-Oo96 ~ L-<:>..1n-8-! v~ flY] PI (OBTAINED FROM PROPERTY TAX NOTICE) o NEW'CONSTR I==:J ADD/AL T D SIGN D MOVE D DEMOLISH W INSTALL CI REPAIR PROPOSED USE D SFR D COMM 0' OTHER TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL DESCRIPTION OF WORK I w ~ IVl oel e.) se~ BUILDING SIZE I ) 2 'f..- t.-J 0 I SQ FOOTAGE I L.j g () HEIGHT I '"1"""1"111'11"111111111"""111111111111111111111111'111.11 1111I1I11111111111111111111111111111111111111111111111.111..1111111'1.1111,..1111111111 o BUILDING 1$ /t;"oOO. 00 o ELECTRICAL 1$ ZC;b. t:J 0 o PLUMBING 1$ Zoo. DU o MECHANICAL 1$ r;m. Db o GAS D FINISHED FLOOR ELEVATIONS I JOB ADDRESS SUBDIVISION WORK PROPOSED I UZI OTHER I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING D I SPECIAL TV D FLOOD ZONE AREA OTHER DYES DNO I I I I , I I I 1 I I , t I I I I I I , , I I I I I 1 , I I , t , 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 1 I I I I , , r I I I I . I I 1 I I I I 1 I 1 I I I I I I I , I I I f 1 , , , I ~ 1 1 I 1 I I ~ 1 I I I BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED IBI!L1t~wl~EE~R~; I Y/N I License # I 1/-10 d(} do 2? () I ( fI/.~tb.-'/ E Ju -{/J"v Y I N I FEE CURRENT I Y I N I License # I ER 06/2910 I ~U~;~~EEtl~~ I Y/N I License # Lr J-f lXlO 0 6 <YO ~h:;~ FEE CURRENT I Y I N I License # I CA co L{ 0 'lLj t YI N Y/N FEE CURRENT Address License # 111111111111111 I I 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111III i 1I1111111I111 i 1111111 i Directions: Fill out application completely. Owner & Contractor sign back of application. 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 NC Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW