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813-78(7-OUZO tally 01 Lepl lyt t wu rCI i, tit rnNNm.auvI <br /> Building Department / tb 556 <br /> Date Received 1 <br /> Phone Contact for Permittin• S 7h 3 43 <br /> Owner's Name 4 &N/✓A/‹ n OARS , Owner Phone Number C ' 76 9 "sue <br /> Owner's Address 400 N ZiesrsfroZE. 81v0 -1 ;911/ 0 •9 A - 33609 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Q <br /> JOB ADDRESS 3 7 032 fy gg, I( t/ /iOAD yel/ /LC.S,i `335 #'0 LOT # 3(p �r <br /> SUBDIVISION. t /L/QND . / /4 . PARCEL ID# 03-.240-21-0230- 00000 036t' <br /> (OBTAINED FROM PROPERTY TAX <br /> WORK PROPOSED p NEW CONSTR ADD /ALT n SIGN Ti MOVE I DEMOLISH <br /> NM INSTALL REPAIR <br /> PROPOSED USE .( I SFR I I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME i I STEEL n OTHER <br /> DESCRIPTION OF WORK A Ei J Co/uvrreuCT on) 1d wN 4ON7 <br /> BUILDING SIZE SQ FOOTAGE , /531 HEIGHT d t jib <br /> BUILDING $ 3 / 6 sO VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY n W.R.E.C <br /> 3�y0 <br /> I PLUMBING $ <br /> 1 MECHANICAL $ 4/? 595- VALUATION OF MECHANICAL INSTALLATION , <br /> ET GAS n ROOFING I i SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS q er , FLOOD ZONE AREA I (YES n NO <br /> BUILDER COMPANY LFN/t/A/e. t7 DBE <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/ N I <br /> Address 0 • / • "Hae( I3Avo. TicloT, F4 33609 License# CSC/ A 5 5'T.5I <br /> G LC <br /> ELECTRICIAN <br /> COMPANY frkecoria EcE� /G C , <br /> SIGNATURE ' REGISTERED I Y/ N I FEE CURRENT, i Y/ N <br /> Address 112o E . 0 wow_ sr Liq kft44/ 0 ,4 3308 / License # <br /> 1 <br /> PLUMBER COMPANY - • <br /> SIGNATURE ., EGISTER D I Y/ NI FEE CURRENT I Y / N I <br /> 33 Sd e_ 02-11 'Sc <br /> Address Pi •• - '�'� %� s � License # are. (1. // 72 <br /> MECHANICAL COMPANY 8 O$/FrgNMO /4/4., /4/9774/6-, , ' ,4 ' <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/ N I <br /> Address , A 6(80x .53 • &9yaver1O,Nt, PL3 1 4. ?Y 1 License # " . •9C dPs9 2 <br /> OTHER COMPANY C• ,JTEeL / It/6 -, &/9Z/ 4200F• c. <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 192 " 5,044 Lhv f 81-vo c5P21IVv< /Y'/14 i63YIo7 License # " "CC CO ,57 99 - / <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -OM Permit for new construction, <br /> Minimum. ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt 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 Life Safety Page; (1) set of Energy Forms: R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI 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 Attomey (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 /> • <br />