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813-715U-UM Lilly UI Lt JI Iyi 1 III rvi 1111i. nNNn,auvi i <br /> Building Department <br /> Date Received Phone Contact for PermItttnt 8/ i 7b 03 /°•✓ <br /> 77 <br /> Owner's Name 4eN/Ii/ Q O '1FS Owner Phone Number 19 '7g ` /' C 0 <br /> Sf"3J l t� f/�'web�' a3 a � <br /> Owner's Address / A( ��ZlC �������- , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37714' /JAot9L/A/ RP 7EP,tjy,e�/tiJ / ./G 335 LOT # I 5 ' 1 <br /> SUBDIVISION t / 4 I 1M 0 / PARCEL ID# O 3-.2 2 /` 0230- 00000— O S o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED )►mil NEW CONSTR l 1 ADD /ALT I I SIGN [] MOVE ( 1 DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME 1 I STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK NEW CONSTRUCT O/v 7 (ICJ A/ /tOi✓/�S <br /> BUILDING SIZE SQ FOOTAGE 1 S 3 1 HEIGHT a Jiv1 y <br /> FT B $ 3 i 6 SD VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL 7 7 0 AMP SERVICE ® PROGRESS ENERGY (n W.R,E.C <br /> I I PLUMBING $ 44 325 <br /> n MECHANICAL $ ii.? 5/5- VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING i i SPECIALTY I i OTHER <br /> FINISHED FLOOR ELEVATIONS 90" 9s FLOOD ZONE AREA IVES �NO <br /> ipill r / <br /> BUILDER COMPANY L,E/V/V4i2 #0 ,t 4 - S <br /> SIGNATURE / <br /> REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> Address <br /> (DOV A✓(>M//•." 84 fro -r A, FL 534o? License# CSC / .1 SS'I.5I <br /> ELECTRICIAN <br /> COMPANY t)/yo�u 50 Al EGEGf�G /L _ZiV C . <br /> SIGNATURE <br /> ..,/ <br /> SIGNATURE I Y/ N I FEE CURRENT I Y / N <br /> Address i / I .5/4 /P = ' /t?124D ,4mj, /, 336/ License # EC 00 0.2.579 <br /> PLUMBER COMPANY 1 M P1- <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N i <br /> Address fo 3 P /I W . O! S , . /2l vc2 V/47,02. 335'78 License # CPC 0,2, /,5 0 <br /> MECHANICAL /� COMPANY 84y0AJ TK nd /Q/6►, / ri97M G,1,4 _ <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT i Y / N <br /> Address 1 A Q" BOK 1 vrg a4yovFT43,N7, / L•.3695/I License # CAC O$$ O 6 2 ' <br /> OTHER COMPANY C1 'STE/a /4/6.- a t tl T V R iG, . vim. <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address I/2 / 5M04t L /uE SLVO SPAING /t /cc, F63yio7 License # CC- Co $ 7 99 / <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 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 slgn 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 />