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813- 78U -UU2U L#ILy UI LCNlryllluta rCItIIIL /I ii uvni <br /> • Building Department teteS03 <br /> Date Received .. <br /> eceived Phone Contact for PermIttin! 81 1 .74 3. 63 __ <br /> . <br /> Owners Name 4wVNA< 1"/ 0�4S Owner Phone Number 0 . 76 9 "S <br /> Owner's Address 4 o N WfsfS/FO,CE. 81-v0 l frOA'33609 Owner Phone Number • <br /> Fee Slmpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 1 o f11,1Ji 4N A ID 2EP�1yy./LiJ /iL . 33 04 : LOT # I 3 I <br /> JOB ADDRESS 37�i . <br /> SUBDIVISION <br /> 6 . / 9 g t e . . L. ' . PARCEL ID #I 1 9 3 - . 2 4 , - 2 1 - - 0 - 2 3 0 , - 0 0 0 0 o - 6 3 , 3 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �� NEW CONSTR I ADD /ALT ( 1 SIGN n MOVE 1 1 DEMOLISH <br /> S INSTALL 1 REPAIR <br /> PROPOSED USE . n SFR 1 1 • COMM n OTHER ( • • <br /> TYPE OF CONSTRUCTION BLOCK 1 f FRAME • EI STEEL ( OTHER 1 I <br /> DESCRIPTION OF WORK NEW CON4TkU O&) - Td wN A O#✓I4s <br /> BUILDING SIZE SQ FOOTAGE ` 5 .3 / HEIGHT a /Gg <br /> FT B $ 3 / 6 So <br /> VALUATION OF TOTAL CONSTRUCTION <br /> , <br /> n ELECTRICAL $ g f y0 AMP SERVICE t PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ Y32.5 • ( MECHANICAL $ 41? 9 VALUATION OF MECHANICAL INSTALLATION <br /> l 1 GAS ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS g 9. 6 a , FLOOD ZONE AREA 1 (YES rTN0 <br /> BUILDER COMPANY LEiv/VA#e. I T 6c.W <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I' Y/ N <br /> Address ko0A/. 14 ole'E BLVD - 7";44. 19, 1, k 53Lo? License# CSC../ :A SSTs/ <br /> ELECTRICIAN COMPANY Ale "' Gi1"J EC E"CIG /L 6/1f • , Lz-� <br /> SIGNATURE L REGISTERED Y / . N FEE CURRENT Y / N , 831 <br /> Address if 2 O £ . Or-E it. S T LP kftArlO 3308 / • License # —R-6" .�. . <br /> PLUMBER COMPANY °' <br /> SIGNATURE / . 7n ISJERED Y / N FEE CURRENT i' d L <br /> Y / N 15-60 <br /> ` ( ` fro v - d art 3 7 Ju7 <br /> Address / ' ' • • • �AM /9,4, AL 33(0/3 License # an: o / 72. / <br /> MECHANICAL COMPANY 8 O I� E . ./f (mid //f/4- f7E#J 'V6./ 0 AeC <br /> FEE C URRENT ; . ' Y / N 1 _ <br /> • SIGNATURE _ � .7---,. REGISTERED �Y / N � ; <br /> Address i' Q,• BoK • 08 3#9foNFTPINr •L -3y6 ?‘.71 License # , 4 a"SS 0 2 <br /> OTHER COMPANY C. ..froe4 /itJ(, -.A BC#Ty R AfG <br /> SIGNATURE REGISTERED i Y/ N 1 FEE CURRENT' I Y / N <br /> Address I 5#04z, L /AJE 81-vo SP41,t/G Ata4163Wo7 • License # - C& Co .57 99 .! <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction; <br /> ' Minimum. ten (10) working days after submittal date, Required onslte, Construction Plans, Stormwater Plans w/ Slit Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufe Safety Page; (1) set of Energy Forms: R -0 -W.. Permit for new construction. • <br /> Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements'must`meet compliance <br /> SIGN PERMIT . Attach (2) sets of Engineered Plans. <br /> ** "PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized . <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same • <br /> • OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ' Sewers Service Upgrades • A/C Fences (Piot/Survey /Footage) <br /> • Driveways -Not over Counter If on public roadways..needs ROW <br />