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813- 78U-UUZU Lilly Ul L.Cpilyliilna rCIilntn./Nnt,autm1��c�� <br /> Building Department • <br /> • • Phone Contact for Permlttine 8 / -. - -- <br /> Date Received - -- - <br /> �5N��� / 7 M • ' Owner Phone Number l/ <br /> Owners Name O �'S <br /> '/ FL.33(,oq Owne7 Number <br /> • <br /> Owner's Address I �O !n/�SfS/rO �LVD �A�'fi49 I Phone <br /> Fee Simple Titleholder Namel <br /> Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> r1 2// n /� '/ AD ID /itJ ,L .3.3.5-4/0 LOT # l 3 e 1 <br /> JOB ADDRESS I / 6 3 1 P �l /��� Y� /1DiI0� �E�iSrY <br /> ,�/ PARCEL ID# !0 23 0 .000 - <br /> .- 00 05 i1D <br /> SUBDIVISION. 1 /LryND ' ���� l l O 3 `21 ` 0 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 0 NEW CONSTR ADD /ALT 1 SIGN 0 MOVE. 0 DEMOLISH . <br /> WORK PROPOSED • �� INSTALL f ( REPAIR • PROPOSED USE n SFR • 1 COMM Q OTHER 1 1 <br /> I <br /> TYPE OF CONSTRUCTION BLOCK 1 I FRAME ' n STEEL Q OTHER 1 1 <br /> DESCRIPTION OF WORK I <br /> A/ E"./ CoNSrie.UGr OA) 1 ALOA4• . , 1 <br /> BUILDING SIZE 1 <br /> • I SQ FOOTAGE /5 1 I , . HEIGHT . 01.577,4y 01.S1� .. l . <br /> • <br /> B 1$ / to s� 1 VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE PROGRESS E LECTRICAL 1$ yQ SS ENERGY W.R.E.C. <br /> I I PLUMBING 1$ Y3 1 <br /> ' MECHANICAL 1 $ 1 9S VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS n ROOFING 1 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS 1 89. 4 6 1 FLOOD ZONE AREA (YES QNO <br /> 7 <br /> • . ' COMPANY I LEAlagg - /'O.✓�t • <br /> SIGN S ' . • <br /> BUI / I ATURE REGISTERED I Y / N I FEE CURRENT' I Y / N I <br /> Address <br /> -i0it/ ,6✓0S 8 i. v - 71414 1 0 , 3340 I License# . 1. a'43C /.1 SSTsI <br /> • <br /> COMPANY 1 NIOiQGf!/�1 cLEGrIG 6i./NF�AN , GLC <br /> SIGNATURE <br /> ELECTRICIAN '- REGISTERED ' I Y / N I FEE CURRENT. I Y / N . 64 pQJ$ 'i Address II /2 Q E• O NDEf2. <br /> Si' LLP LAniO ,f1. 3308 11 License # 1 . <br /> PLUMBER COMPANY <br /> SIGNATURE RE STERED I Y/ N 1 FEE CURRENT Y/ N <br /> Address / 33501 License # <br /> • <br /> , . • .����:, i <br /> COMPANY 1 8.4Y0n/ET d t/MB/ot/G. .//609 �t/(r, 6/ fit c_ ' <br /> l . <br /> MECHANICAL A FEE CUR RENT Y / N <br /> i <br /> I <br /> REGISTERED Y/ N 1 I . <br /> SIGNATURE I <br /> Address <br /> I / 0..8 O)(5 ' . 8R ur, FL3v6 ?til License # I GAC msS` O 6 2' <br /> COMPANY 101 srEKLi �1l , (lA['! r9 Roc .-Tvc. 1 <br /> OTHER <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT' I Y/ N I • Address ( // 5#o4t L /uF 8i-uo c5P21N6 #11.4 LL3Yio71 • License # • 1 .c C / I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction, r <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 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 Oniy) <br /> . Reroofs • Sewers Service Upgrades • NC Fences (Piot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways. ..needs ROW <br />