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813 78U - UUYU l+Il.y UI LC p I lylllnl0 rcilllit nJNnR.auv„ <br /> Building Department -- ( V - W �, <br /> Date Received- Phone Contact for Permitting 8 / L 'b' ° 3 6 :3 <br /> Owners Name A eNA/fl/Q // O,41,4S Owner Phone Number (Igo) li N ! q -- 11 0 0 <br /> 33260 <br /> Owner's Address /- �. /4//l'GJ,�•(r L 4& <br /> '2 4 /t CL Wf 71 �L , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 -77 y / 4444 /v 2E.07,/ye*Lt l / 335-90 LOT # lv 2 <br /> SUBDIVISION L 09 A / 1 : ) rn 4 PARCEL ID# 03 -2 — 21- 023 p - 00000- 2 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ion NEW CONSTR I ADD /ALT 1 1 SIGN [ MOVE 1 DEMOLISH <br /> INSTALL f REPAIR <br /> PROPOSED USE I I SFR 1 COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION 10 BLOCK I [ FRAME I 1 STEEL [ [ OTHER <br /> DESCRIPTION OF WORK / Ew Co/vsre.UC7% OA) -TOWN ALO/t/J,ES <br /> BUILDING SIZE SQ FOOTAGE / 3 7 HEIGHT a ..5 <br /> n BUILDING $ 3 i 65D VALUATION OF TOTAL CONSTRUCTION <br /> [ [ ELECTRICAL $ 3 y,1 AMP SERVICE ® PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ ii3.7.c <br /> I 1 MECHANICAL $ liz ? 5 5". VALUATION OF MECHANICAL INSTALLATION <br /> [ [ GAS 1 1 ROOFING 1 1 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> /2" 4 FLOOD ZONE AREA I IYES [ 'NO <br /> BUILDER COMPANY LEN/Wig- 5 ° " ! <br /> 1/A/e /1 <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address VO / Al. WJ • ' 8Avo 194O,/, k 53409 License# CSC,/ 557.x1 <br /> ELECTRICIAN COMPANY CONo,t/ 50.1/ FC EC1 /G :ZAV C . ✓ <br /> SIGNATURE � REGISTERED I Y/ N 1 FEE CURRENT I Y / N <br /> Pr <br /> Address , / 0 .5 / ' ' i. /et)/0, 74"l,4 4 336 3 License # EC OD O ZS 79 <br /> PLUMBER / COMPANY SM'Vn/ PL- t/A4 /"/6 i1 *-514- " <br /> SIGNATURE / - REGISTERED — 1 Y / N 1 FEE CURRENT lariall <br /> Address b 3 /Jh/ 4 0* 0/ 5 j21 vE2!' /£4/4 . 335 License # CFC D,2 /.5 0 <br /> " / 1P . ,I, <br /> MECHANICAL COMPANY <br /> 84 o "/ETgwild/ /s,, ftE/9774/6., Af{G Ste" <br /> SIGNATURE i/ ----, REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address A O. BDx - - Og 434ifaver FL- .3Y671/1 License # CAC OS9 0 do 2 <br /> OTHER COMPANY C. • ij ,- l d9L / ry R /uG, ..r-VC. <br /> SIGNATURE K -----., REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address i 1/ 5k ,c 4 L /oF 8t-VD SP2 /N6 /iu, ,ci3yio License # CO' CO 3 99 .1 <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 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 />