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813 78U - UULU LILY 01 LCpl lyI VIII, rC7w IIL r i -nu..c uv' 1 , <br /> Building Department <br /> Date Received . . // <br /> eceived // ,4 p 3 <br /> • '' v Phone Contact for Permittin, � / � 3 (o <br /> Owner's Name ' Aevv/ / I OM�S Owner Phone Number ( /3 ) 'Y.40- 9 - ``s <br /> Owner $ Address 400 N atsrJ/tO,Q, atfo 1;mvog - 33609 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ? <br /> JOB ADDRESS l'✓ 22 -7; /VI6�/<L f 1/V j 7F�iy �L '.3.3590. LOT # /0 3 <br /> SUBDIVISION. 4 - / L 44 N D . /194/1—. ' PARCEL ID# 0 '2 40 -21- 023 0 -, 00000-- / <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED • r7/ NEW CONSTR ADD /ALT n SIGN 1 I MOVE ( I DEMOLISH <br /> N INSTALL REPAIR <br /> PROPOSED USE' n SFR I 1• COMM n O THER I 1 <br /> TYPE OF CONSTRUCTION BLOCK n FRAME n S TEEL n OTHER 1 <br /> DESCRIPTION OF WORK N EA/ CONSTjeU:GT OA) 1O (Ai N AL 0A44'.5 <br /> BUILDING SIZE SO FOOTAGE /5 / HEIGHT a'Jrb# - <br /> Q B $ it ao S0 VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ 3 ,y0 AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> • <br /> n PLUMBING $ Y325 <br /> • • <br /> n MECHANICAL $ /2 5 / 5 .- VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS n ROOFING 1 I SPECIALTY n O THER <br /> FINISHED FLOOR ELEVATIONS 9 / o FLOOD ZONE AREA 1 IVES T NO <br /> BUILDER � ) COMPANY LF/V/VAie l7 O tS <br /> SIGNATURE / REGISTERED I Y/ N 1 FEE CURRENT' I Y/ N <br /> Address (POO/t/ 1✓ 8&i.D 7�'W , ,4 33609 License# • C . 3G/ SST.5I <br /> ELECTRICIAN COMPANY , iplY6 u 50. 4/ e'C ear LZN C <br /> SIGNATURE I REGISTERED • I Y/ N I FEE CURRENT j Y / N 1 <br /> Address (, /O3 / s P' ,__ /€0i4D License # : I t 00 02.5 <br /> PLUMBER / / COMPANY _BMW 740M /JUG <br /> SIGNATURE ' REGISTERED ( Y / N � FEE CURRENT I Y / N <br /> Address & 37-7 /-/W / / 5 . ,./21,vE2 v/E '/ 335V8 License # CFG p / j O 0 <br /> • <br /> MECHANICAL ' COMPANY 84i0n/ETK .vro /4/6 ..,;,.../16 <br /> f+ f/itC�'' . <br /> ' SIGNATURE REGISTERED ( Y / N I FEE CURRENT 1 Y / N J <br /> Address 1 A 0. 80K a�y0NFT FL3Y69y I License # A S S . 0 6 2 <br /> OTHER COMPANY C, •1 /VCi' . i/HCI Ty Roof u16 ..Z+VC. <br /> SIGNATURE • . , REGISTERED I Y/ N I FEE CURRENT" I ` Y / N 1. <br /> Address 1 S4'44 L /d1 F 8L.VO JP4,N6 /fKG, `LJS/Wo7 • License # ' (CG- CO 5 / <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; ii-O -W Permit for new constructor, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stomiwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large protects <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 rnust 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 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 />