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813 78U l. rll y UI LCjJI IYIIIIII, r��i�nn. ^NN "`' ° """ tp4 <br /> 1 o q( ,9 , <br /> Building Department <br /> • <br /> g/ © 3 43 <br /> Dat Received <br /> P hone C ontact for Permittin _ <br /> Owner's Name <br /> 46 VA64 iO � S Owner Phone Number <br /> t '/ FL336 Owner P hone Number <br /> Owner's Address m �� N ESfS/ fOR.E . <br /> Owner Phone Number , . <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> P ia _ 7e* 1 /9/t a 1C4 '335 LO <br /> OT # <br /> JOB ADDRESS �� ./ / — �0 <br /> • ,/� `' M4/1— PARCEL ID# 0 3-26-21- 0 3 9.'.0000 ' <br /> SUBDIVISION. � iLry /v D (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR ADD /ALT <br /> SIGN [1::::1 MOVE . = DEMOLISH <br /> WORK PROPOSED �a INSTALL • REPAIR <br /> COMM Q OTHER <br /> PROPOSED USE Q SFR 0 • <br /> STEEL Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q <br /> DESCRIPTION OF WORK A/E+w CONSPZUCT OA) <br /> owN /40✓4 • <br /> SQ FOOTAGE • <br /> 3. 6 / HEIGHT 01 .5'172'4 <br /> BUILDING SIZE <br /> • Q BUILDING $ 3 / 6 So VALUATION OF TOTAL CONSTRUCTION <br /> ✓ W.R.E.C. <br /> AMP SERVICE PROGRESS ENERGY i� <br /> ELECTRICAL $ � cl l.o _ <br /> PLUMBING $ !f 3.ZJ I <br /> n • MECHANICAL - VALUATION OF MECHANICAL INSTALLATION <br /> ED GAS I I ROOFING L__J SPECIALTY [J OTHER <br /> FINISHED FLOOR ELEVATIONS 90 , / <br /> FLOOD ZONE AREA 1 IYES flNO <br /> f <br /> � j/ <br /> BUILDER COMPANY REGISTERED I Y / N I FEE CURRENT ' I Y 1 N 1 <br /> SIGNATURE <br /> 1 C3G1 02 S5'7.51 I <br /> Address <br /> VferA . 6i(6 / '. BLVD - 71444 9 14 33 License# <br /> / COMPANY I f-D/Yo,ts Al E EC1i /C_ Zit/ C • • S GNAT R ` � REGISTERED '1 Y / N 1 FEE CURRENT I Y / N 1 <br /> SIGNATURE E <br /> Address I, / .SK/ ' I".f '. /0U/k-7/4"► "fr; 33 6/3, 1 <br /> License # `� 00 O �S 79 <br /> / COMPANY RS Vi PIUM %3 ,itJ 1 <br /> SIGNATURE <br /> PLUMBER � / . , • REGISTERED I Y / N 1 FEE CURRENT 1 Y/ N I <br /> �,S <br /> S ,. fi ve41//£ ✓CG 3337,51 License.# • 1 eF o ° 0 <br /> Address I 6937-7 /�h/ � � , / <br /> ,,, COMPANY I 94 IOn/ET vMG /.f/crs f+�Eq�•r G•,. 8rf>IC. � MECHANICAL l REGISTERED Y/ N 1 FEE CURRENT i Y / N I <br /> SIGNATURE i <br /> . )( ;v� 3o <br /> Address yo Gi- 3S/6 ?� 1 C d © 2 <br /> 1 . O BO .. License # I �� . S$ <br /> COMPANY I <br /> OTHER / REGISTERED I Y/ N 1 FEE CURRENT' I YIN I <br /> SIGNATURE I II <br /> [ /l. $$o4t L /uE &VO �5P2IN6 lift, F63stio71 ' <br /> License : 1 �,'�D. 9 9 - � 1 <br /> Address - <br /> RESIDENTIAL Minch (2) imum ten ( (10) working 9 Sets of days after Building ubmittal date Required onsfte Construction e Plan s Stormwater Plans wl Silk Fence installed, <br /> Minen (10) <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Farms. R O W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsfte, 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 /> Fiji out application completely. • <br /> Owner & Contracts, 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 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 (Plot/Survey /Footage) <br /> DriveWays -Not over Counter if on public roadways.:needs ROW • <br /> • <br /> • <br />