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813 - 780 -0020 City of Lepnyrnnls Permit Application r•d.x-o 1.3-/ OV-UUL I <br /> Building Department g `� r _ 5 3 <br /> Date Received l a7 _ ! X 6.5 - � � <br /> n / 0 Phone Contact for Permittin! p <br /> Owner's Name 0 i2OC- 4 A Owner Phone Number D..3 - D 33 30 k ) <br /> Owner's Address 7 )z 1 A154 (4,0 d2 Z `A i //S F Owner Phone Number, - <br /> 335`.O <br /> Fee Simple Titleholder Name Owner Phone Number <br /> • <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 7 a / 4.5-A /F►n1 ci d zePh74 'r$ f .335 LOT # Z O O <br /> SUBDIVISION 41 Ph 4 U I 1 1 Aj - es /- PARCEL ID# 3S' 3.5-9-/- 0 0 5 - 0© - z6 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION ( 1 BLOCK I 1 FRAME 1 I STEEL Q OTHER I <br /> DESCRIPTION OF WORK P-€-P1 Ace L W f%).1/0....1 u kilt /'ti 3 °Pep) ; -i 7s S /J; , 2_ (Z / / Z d <br /> BUILDING SIZE' SQ FOOTAGE HEIGHT <br /> I BUILDING $ / (/ ".�' VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ / 1J AMP SERVICE , FT PROGRESS ENERGY W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS n ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES nNO <br /> -269- ' � <br /> - o <br /> BUILDER - COMPANY L ►yt'e Celli-05 .J-�'I c r <br /> SIGNATURE `� L7°�— REGISTERED I /y J N FEE CURRENT 1 Y/ N I <br /> Address 1 3 5 X1 Sro. 'hrericCr•5 +++O Orlctrdc,FL 3281 License # e f t50041 - , <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address ' License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address. License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) 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 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 Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) . <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />