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813778U -UU'zU tally 01 L r - v1 II n� nNN n�.auv� <br /> Building Department <br /> • <br /> • <br /> Date Received - 2/-7 Phone Contact for Permittin 8 / '1 7. 3' j <br /> Owner's Name 4541A1,4< T7 O� 5' Owner Phone Number (8f 3 > <br /> Owner's Address 41,O N Afrsrsh'O,e4 . S1-V0 13, esoA 33609 . Owner Phone Number <br /> Fee Simple Titleholder Name Owner'Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS b / �/ L/V 7E/ohlyie1 /4a / �L 33 <br /> SUBDIVISION. 6 /44NL:) / ∎T4/1.-. PARCELID# O .26.-21- .23Q,.00000 -/ 77 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> IIIII INSTALL REPAIR <br /> PROPOSED USE n SFR I 1 • COMM n OTHER <br /> TYPE OF CONSTRUCTION L BLOCK Ti FRAME • 1 STEEL I OTHER 1 1 • <br /> DESCRIPTION OF WORK A I EW CoNS?zU:CT 0n) " rvcuN /,oA/1 <br /> BUILDING SIZE • SQ FOOTAGE /i / HEIGHT o Sn,edy <br /> BUILDING $ 3 /r 6 s0 VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ V1710 AMP SERVICE 154 PROGRESS ENERGY n W.R.E.C, <br /> n PLUMBING $ 3Z5 <br /> • MECHANICAL $ 4 VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS Ti ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES nNO <br /> 90 / <br /> BUILDER / COMPANY LEA/,V, e #01. / 5 <br /> SIGNATURE i REGISTERED I Y/ N 1 FEE CURRENT I> Y/ N I <br /> Address k /v �✓ ,/ &kQ --7-47 334o q License # C3G /: s5 <br /> ELECTRICIAN COMPANY £ W0/./ 50 Ai F C EC1ZIC„- X / C <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address , f 037 ■Sly 'PIQ /ad4),�i4M,4 fL 336/ License # LAC . 00 o .2579 <br /> PLUMBER COMPANY 3A> PT /N& <br /> SIGNATURE • REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> • <br /> Address (v3- /lW y /S , ./2r vc 4. 33518 License# Cf60 /S 0 <br /> MECHANICAL � .' COMPANY 8 O /fume/ / <br /> n/ - -+t/l:►� f+IE�A�Nlr, or f{G <br /> SIGNATURE / REGISTERED Y / N FEE CURRENT 1 Y / N 1 <br /> Address I,° 0. Go)( ; •a' 3 tiyavFr) ,Nr, FL 3 y69� , License # CAC OS$' . 6 2 <br /> OTHER COMPANY C. •STE Z. / A1L. J19CITy IQAO/ <br /> SIGNATURE S. / _ REGISTERED 1 Y/ N j FEE CURRENT 1 Y/ N 1 • Address 'f2/ /. 5 L /SUE` 81-Vo (SP201/6 *L4, LiJyfo 71 License # GG- Co 57799 ; <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction;• : <br /> • Minimum. ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sllt 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 Piens w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commerclal 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 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 />