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813- 78U -UUZU LA)/ 01 LCpl l y 1 I I I I I J r i I I lit r %ppuI Jc uvu 1 - Bullding Department -it q ((» • Date Received /0— o 9 Phone Contact for Permittin! 8 1 q 6.3 3 , ' / • Owner Phone Number I/B /3 76'9 ----57z77 Owner's Name _ �Fr1/11/�IQ n ��`S I Owner's Address 14 00 N. tie &VD °f ?e 49 /4-3364I Owner Phone Number I Fee Simple Titleholder Namel Owner Phone Number I ., Fee Simple Titleholder Address I JOB ADDRESS 1 7tio ' ry H /LI A YV 604. / 76/ y ie/9 t /LL,. �L ' 33S #' I LOT # I 4 // SUBDIVISION . 16 /64ND /lc 4/Z., I PARCEL ID #I 03-.26,-21- 23 O 00000-- 0 /l a (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED prill NEW CONSTR I I ADD /ALT 1 SIGN ( 1 MOVE 1 1 DEMOLISH a INSTALL REPAIR PROPOSED USE fI SFR ' I I - COMM I I OTHER I I TYPE OF CONSTRUCTION 1 BLOCK I I FRAME I I STEEL n • OTHER I I DESCRIPTION OF WORK 1 A Ekv CoNSreuCTi OIl) - 1 wN /-1.o.4.es - I BUILDING SIZE I • 1 SQ FOOTAGE I /3 7/ . I HEIGHT I a Sive I I 1 B 1$ 3 // 6 So I VALUATION OF TOTAL CONSTRUCTION ' ELECTRICAL I$ ' 3 'ill O 1 AMP SERVICE PROGRESS ENERGY n W.R.E.C, n PLUMBING I$ VALUATION OF MECHANICAL INSTALLATION 1 I MECHANICAL $ 4/47 vs,- � � 0 / �t � o e l El GAS [—I ROOFING 1 SPECIALTY ( OTHER 2 , f� a FINISHED FLOOR ELEVATIONS I 90 , / o I FLOOD ZONE AREA 1 IYES nNO. (L BUILDER COMPANY I LFNNAIL /40/W.6 I SIGNATURE X REGISTERED I Y/ N I FEE CURRENT - I Y / N I Address k p Q O/ V 4 //oi,e( B Li iO - 710'A, 33409 I License# C4G /-0 SS7.5I _I ELECTRICIAN COMPANY 144P/Y ° f A/ �'C EGt7 / Z N C - SIGNATURE REGISTERED 1 Y/ N I 'FEE CURRENT I Y/ N Address j , a.3 /P/?tte /2Oi9D ",4 -91et 336/1 1 License # I ec OD o.2. 79 . COMPANY - ' ! IA/ PL..4"m 6 //L/ (7 *__ SIGNATURE PLUMBER REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I � ' Address 6032-7 / iv 3D /S 1 ./2i , vc21/1£0,1A - 2.. 33,18 License :# CFCO.� /SQ 0 MECHANICAL COMPANY 94Y0I✓ETg lot ,. •f.�E 7?4/G A ,4c_ , ' SIGNATURE // c REGISTERED Y/ N I FEE CURRENT I Y/ N Address 1 #. Bo)( Og 34yomerAvNr FL3947 . License # , C9C O$9 0 6 2 OTHER COMPANY C• •S'TEk'L/ #.116- .1 ()9[/ fy R mvlr, ylvc. SIGNATURE REGISTERED I Y / N 1 FEE CURRENT' I Y / N I Address I'/2 . $ljii,QQ L /ry F 8LVO , Silez/NG At/I-4 `LJS/W07 License # - CC Co T7.99 .l 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 w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; 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 -OM Permit for new construction. • Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements Meet 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 Attomey (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 A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways.,needs ROW .