Laserfiche WebLink
u�,i-i vv-vvc� �.i�y ui ���r ryi i ini� rCi n u� r1N�nc;auui i 1 QA'U IJ VV � <br /> Building Departm ent � i�� . r � j , � Q � <br /> , P.�-M� , <br /> Date Received [1 �,�( � Phone Contact for Perm itting 0 b S,b -- � 3�s 7 <br /> - T 1 1 T�f I I , - - - �1 1 - <br /> Owner's Name C,�: v t �.ci �,� Owner Phone Num ber <br /> Owner's Address � L� 5��� p�; � � • � , �� v � <br /> ��+tObwner Phone Num ber <br /> Fee Sim ple Titleholder Name S Owner Phone Num ber <br /> Fee Sim ple Titleholder Address <br /> JOB ADDRESS � � (p � � p cs-c� LOT # � <br /> SUBDIVISION � PARCEL ID# ,�- ?�S L�- C7�� (7 - c��kOQ -c'•1'�U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADDlALT � SIGN � O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK ��` � Z-�r-�P_ 5 � -�v � e , N <br /> BUILDING SIZE � SQ FOOTAGE L 07 HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCT ION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ <br /> .�,% �/7(� 3 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVAT IONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY �o- ( L- � �� rU'�-�-� /�N � Sn+ c� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 11.r� �tn f�K- C:,-. �v�,�.e�(�c�..c-0�, FL 3 7�7 License# ��B�y�D�v11Q� 3 <br /> 111111111111111111111111111 1111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buildi ng Plans; (1) set of Energy Form s; R-O-W Perm it 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 8 1 dumpster; Site W ork Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) s et of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site W ork Permit for all new projects. All commercial requirem ents 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 applic ation completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over $7500) <br /> " Agent (for the contrac tor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing s ame <br /> OVER THE COUNTER PERMITTING (Front of Applic ation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter i f on public roadways..needs ROW <br />