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813.78U-UU'LU Lilly UI L r iIinl (11 yll,,,ivi ) rye/ /y / Building Department /(/ U�(C�/,7„ • ate Received Phone Contact for Permitting 8 / °i ?b I -- O 3 ‘ 3 Iwner's Name I /-10. NI'3 G. t l Owner Phone Number (TO) 1 / 1 7 4 17 ` 11 00 Iwner's Address I G 374 A4,4- tS /E /o 41) Owner Phone Number ee Simple Titleholder Name Owner Phone Number ee Simple Titleholder Address p /�,� . l,� O / Q ADDRESS / t4, ie `� 01 D 7F lye/9/ /t � -/ 33590 5LOT# ` f B G 3 �' Y'f U n / ,UBDIVIS)ON E /L / ° / 9 / W C ; ' t t . / L PARCEL ID# 0 3 --260 -2/- 0 .23 0 -- 00000 /9S (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED p 4 NEW CONSTR ADD /ALT 1 1 SIGN I MOVE 1 DEMOLISH all INSTALL REPAIR 'ROPOSED USE 1 ] SFR I 1 COMM I OTHER 1 [ YPE OF CONSTRUCTION 10 BLOCK [ [ FRAME I I STEEL 1 OTHER I )ESCRIPTION OF WORK t EPA //z- / RE,?o O E G .J /A./ 4 -Gt FA AI / 1.-ye le-ES / Qrieve 6 - TW J 3UILDING SIZE SQ FOOTAGE 1 S3 \ HEIGHT a 57 9 ' BUILDING $ 31, 45-0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ i 7 0 AMP SERVICE ® PROGRESS ENERGY 1 W.R.E.C. PLUMBING $ 'f3Z$ MECHANICAL $ 4 51.5--- VALUATION OF MECHANICAL INSTALLATION GAS [ 1 ROOFING [ 1 SPECIALTY [ 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 [YES 1 [NO BUILDER L COMPANY L5N/1/44- / SIGNATURE L REGISTERED [ Y/ N [ FEE CURRENT 1 Y / N Address 6 LdG . of VAC At.4 GLEAM tre,25F/ License # CSC SS's .51 ELECTRICIAN �J © COMPANY r:2)r:2)//op o 5 O Al 6 ECr4, /c. Z,/ C C. SIGNATURE / REGISTERED I Y/ N I FEE CURRENT 1 Y / N Address 37 + p4W. /e.d ,9 Pi -7,4 "'r/f`lr , 336 / 3 . License# G 00 0.2,579 PLUMBER , COMPANY 8F Vo^/ET ptuna6 //vG, /�fil�/^'d - , 9 .4 C SIGNATURE REGISTERED Y / N 1 FEE CURRENT [ Y / N 1 Address 090 BOA 530y frztYwr R 671i License# C /CC ®_ 299 1:' MECHANICAL COMPANY 84 0/VET'guMO /�t/6. / 6,97?/6, 1 /if C.- SIGNATURE , Pr. REGISTERED [ Y / N I FEE CURRENT [ Y / N Address A / SOK .5308 842yoN67 /Nr FL35 License # CAC 0.$8 0 6 2 OTHER . - 'L/ 01./6- v gz, Ty /? XF / /'IG, .Sve.. SIGNATURE L REGISTERED Y / N : NT 1 Y / N 1 Address 1 12/1 5'YO14L _,.. ■ La SP2/NG /[L ■L,3SI0 ? License # CZ 0037 99 / 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 subdivlsions /large projects COMMERCIAL Attach (3) complete sets cf Building Plans plus a Life Safety Page; (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 all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. "PROPERTY SURVEY required for all NEW construction. Directions: FIII 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 Attorney (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 NC Fences (Piot/Survey /Footage) Driveways -Not over Counter If on public roadways,,needs ROW