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813 78!J UU'LU lolly UI L is rvi„nc nNN v, , �„ . Building Department l'0616'9:6 <br /> ate Received- Phone Contact for Permitting 8 / L11.6 -- c3 ‘3 <br /> )wner's Name , . R/612 ---- Owner Phone Number ( 2') q � � 0 0 <br /> �P ,7 1 4 /S /�= D�,L) Owner Phone Number <br /> Iwner's Address I . <br /> ee Simple Titleholder Name, Owner Phone Number <br /> ee Simple Titleholder Address 4 <br /> OB ADDRESS : 7 ,4"J iii o'4- 2EPy/ye ///t a/ /L .53.5 LOT # /9/ <br /> ,UBDIVISION 6/44N D i'94- PARCELID# 03- .2 6)-21- 0.23 0- 00000 - l7 / C/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VORK PROPOSED prii NEW CONSTR ADD /ALT 1 1 SIGN I MOVE 1 DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE n SFR I COMM 1 I OTHER I I <br /> YPE OF CONSTRUCTION BLOCK I 1 FRAME I 1 STEEL OTHER I <br /> )ESCRIPTION OF WORK 4ept91/z / /& lo0E1 ..7M/ (-LC' F4 4-( /2F,s/ f / <br /> — Ti <br /> 3UILDING SIZE SQ FOOTAGE c 371 HEIGHT a , sre3e- , ,y <br /> BUILDING $ 3 // 65-0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 3 , `I7/0 AMP SERVICE ES1 PROGRESS ENERGY 1 W,R.E.0 <br /> PLUMBING $ 6'3 <br /> MECHANICAL $ 1 /.2 VS-. VALUATION OF MECHANICAL INSTALLATION <br /> GAS I 1 ROOFING I 1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES NO <br /> IOC~ s <br /> BUILDER t' p> L COMPANY GENN /7 /0144- S <br /> SIGNATURE //( <br /> REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N I <br /> Address ,, , 5550 L.LGf . 4V1 At.411 /0 ` Citi �w FL337' License # CSC--/ -7 S51.51 <br /> ELECTRICIAN "`\ c ' COMPANY 4>/y0.v / E <br /> 5o a C (C7/c_ Zit/ C • <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 934/ ,•574/P'=12 7# /2 0/V2V # 3 <br /> 3 6/3 , ' License # S-C 00 0 ' 2 ' 5 79 <br /> PLUMBER *-111/4C(.5.° - COMPANY BNVoriE Fctin csiivb,fi/t{/triNrr. Q.4 C <br /> SIGNATURE - REGISTERED Y/ N FEE CURRENT 1 Y/ N 1 <br /> Address PO Bo,X .5,3 05',firs. YOAt/ET Abi I( 4irc 3 5 4 675-/ License # C FC ®_ Z 9 9 <br /> MECHANICAL /// COMPANY 84`f0A/E r/4t uMO /4/G- T HE,9774/ ., 1 /5 <br /> SIGNATURE I REGISTERED I Y / N 1 FEE CURRENT 1 1 <br /> Address / 7 B X . J 3O 8 $ 4yo�t/FTPOmIr / ,CL License # GE'C 0 -5 ; 8 O 6 2 <br /> OTHER I COMPANY C� �6 1 ci9[ T y _a_Fi ..ZvG. <br /> SIGNATURE L Y / N I FEE CURRENT I Y / N 1 <br /> Address ¥2// S//o4L Liu • • o P2oJ #fL4 C43YIo License # = C 5 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 onslte, Construction Plans, Stormwater Plans w/ Slit 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 /> FIII 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways,.needs ROW <br />