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813778U-UU2U L•ilyUi LUpitylItill ' rcilint n1J1/11+auvi I l /( Building Department • -If ( r /} J� l Date Received Phone Contact for Permitting _8 ___: 74 __ -- - 43 ' • J d 3 ' / Owner Phone Number ( 013) ' 7 9 � ' ' •k"*.;.:, 7 Owners Name • b54 //✓,4, T� O S / A436 Ownr Phone b r . Owner's Address (!o r70 N W � S fS�P OR. E : f3Li/D A M�4A eh Nume • I • Fee Simple Titleholder Name I Owner Phone Number - .. Fee Simple Titleholder Address I III o 2EW e ,9/1-a ,,-4'3 1 JOB ADDRESS 1 7430 LOT# . �l ��A� YN �D J P y . / 6 . "/94* -. • .1 PARCEL ID #I 03—.249-21— 0.23 0 00000---°3-5: U ( . SUBDIVISION I /gND (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED p NEW CONSTR I ADD /ALT n SIGN 0 MOVE Q DEMOLISH , INSTALL I • REPAIR i • PROPOSED USE . n SFR I ) . COMM n OTHER 1 • , TYPE OF CONSTRUCTION ItiiK BLOCK • n FRAME ' n STEEL Q • OTHER DESCRIPTION OF WORK 1 1 E111 Co/v477ZUCT O/J BUILDING SIZE 1 • • • • 1 SQ FOOTAGE I 5 3 • 1 I HEIGHT 1 0?.5777/G,y 1 El B 1$ 31, 6 SO VALUATION OF TOTAL CONSTRUCTION 1 I ELECTRICAL .1$ g 117 0 AMP SERVICE PROGRESS ENERGY �) W.R.E.C. • � Ei PLUMBING Is 4 5 n • MECHANICAL I$ 41.2 vs VALUATION OF MECHANICAL INSTALLATION I I GAS n ROOFING I SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS I 7 f 3 p . 4 O i FLOOD ZONE NE AREA I (YES NO . COMPANY I LE/V/VAg- Owf I SIGNATURE ,. ' /- BUILDER REGISTERED I Y/ N I FEE CURRENT • I. Y/ N I � � Address ko0 . Al • • q €( afro -.71 4,, / 43-409. 1 License# 1 C&G/ A S57.5/ J � .f, ELECTRICIAN • �/ COMPANY 1 /`IO 'LEr /L f Wy, id..0 I SIGNATURE REGISTERED ' I Y/ N I •FEE CURRENT i Y/N 3 .o p 1 License # O . It S r Lp A�.O Ic L , FL 33306 S ♦ AI .� Address f �� O E O � PLUMBER COMPANY - • - - -24s .r -L•— ____-�►�__r SIGNATURE ' box .j b1r G ST RED Y/ N FEE CURRENT Y/ N A b a ' _ter: 433 1 Lice # • �� Address /y' - • , • , / All • / COMPANY I8 0 /E?' /VvMB /4/rk •ffE� 4/6-, 5( /49C-• ' i . , MECHANICAL SIGNATURE REGISTERED Y / N I FEE CURRENT ,.. '' Y / N I , ., Address I /. O•. BOK 5 8 . a s yoMFT . FL 946?5 License # : GAC msg 4 6 2 OTHER COMPANY C• • /;06- , c/ 9 / r-y R ,vG, ..teVC. SIGNATURE y REGISTERED I Y/ N I FEE CURRENT Y/ N 1 • �_- l Address 14 -5/04h LAI F 81-vo .SPiet 1N6 *Lc A . License # CG- Co:S 99. , / RESIDENTIAL " Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction;': ; ' Minimum. ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Slit Fence installed, Sanitary Facilities & 1 dumps(er; Site Work Permit for subdivisions/large projects COMMERCIAL : Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 w/ Slit Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requlrements'mustTeet compliance ' SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: „ Fill out application completely. . • Owner & Contractor sign back of application, notarized if over $2500, a Notice of Commencement Is required. (A/C 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 pgrades A/C Fences (Piot/Survey /Footage) , Driveways -Not over Counter if on pubilc roadways.:needs ROW