Laserfiche WebLink
••��,������ vny vi�cNi�yi r i u�a r c�i t u i nN�.rn�.auui i �o�.,�..-,w w�� <br /> Building Departrnent <br /> Dete Racelvad � �� phone Ccnfa�t for Permlttin O�J _ f(J <br /> Owner's Name �b ' G � �h Ownar Phone Number �� �70�/"�y � <br /> Ovme�s Address 3$/ _-�t _Lw�[f_ �• Owner Phone llumber � <br /> T <br /> Fee Stmple Tkinholder Name � � Owner Phone Humber <br /> Fee 5impie Tltlafioldor Address <br /> JOB AdDRE33 3�135 /' • � � �l/S F L LOT q � <br /> SUBDIVISIOM �.i}� OT �2 � � IS PARCELIDI! - '�I'��I - !.V'(' <br /> (OBTAINED PROAf PROPERTY TIUC N017CE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> OESCRIPTION OF WOItK �t.7 �}S — � Y I � <br /> BUILD�NO SIZE � � $Q FOOTAOE ��GZ O HEIOM t ^�I /O <br /> ��Gr � <br /> QBUILDING S VALUATION OF707AL CONSTRUCTtON 3��OQQ <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENEROY Q W.R.E.C. <br /> -, "��.TS � �( � <br /> QPLUMBING s 4 \ � �� <br /> QMECHANICAL S VALUATION OF MECHAN3CAL INSTALLATION ��)I�1 `T �f �K(S� <br /> l 1 <br /> � <br /> [�]GAS Q ROOFING Q SPECIALTY � OTHER /, V� (�J��� <br /> �V �.� <br /> fINISHED fLOOR ELEVATIONS Fl.00D ZONE AREA QYES NO <br /> BUfL�ER ��� � COMPANV <br /> 91GNATURfi REGiSlEREn Y!N FEE GNtnn. Y f N <br /> Address Licenselt � � <br /> ELECTRiC1AN � �� COMPANY � <br /> SIGNA7URE � ttecis►ert�n Y/N �e ctrar�r. Y/N <br /> Addreas License#�� <br /> PLUNfBER � � COMPANY � <br /> S1GNA'tURE RE(lISTEREO Y! N FEE Cl�if�t. Y I N <br /> Addresa Llcense#� � <br /> MECHANICAL CflMPANY � �� <br /> SIONAtURE RE6187ERED Y I N FEE CURRB. Y/N <br /> Addroas tbanse#t � <br /> OTHER �—.. y COMPANY l,�GG.1�P� �D�""M VI��L5"T��S TMGI <br /> SIGNATIfRE J ' /i REGISTERED Y 1 td c�cuar�n Y/N <br /> Addrnss License$ �������oZl� � <br /> RESlOENTUI4 Attach(2)Ptot Plans;{2)sets of BuiWi�Plans;(1)set M Energy Fortns;R-0-W Permk fa rrew caubuGlon, <br /> Minimum ten(10)workfng deys sBer sUbmitlel date. ReqWred o�lte,ConsWOUOn PIa�.SWrmwater Plans w!SAt Fence installed, <br /> Sanitery FarJfitles d 1 dumpetar,Site Work Permit for subdtvisfonsilarge proJecb <br /> C6MMERCIAL Atfach(3)canpleta sets of BWWing Plans pius a Life Safety Page:(1)set of Energy Fortns.R-O-W Permit fw�aw canstructlon. <br /> Minimum tan(70)wvrkkig days after submlqal Cate. Requfred onslte,Constructlon Pier�s,Stortnwatar Plans w!SOt Fm�instalked, <br /> Senitary Fadlides 8 1 dumpster.Site Work Pormit fa aU new pro]ects.Ail commerdal requlrements must meet campliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqWred 4or all NEW�strueUon. <br /> Directions: <br /> FIII out appiicatlon Wmpletely. <br /> Owner 8 Con6ector aign badc of appiicetlon,notarfzed <br /> If over 52500,a Notico of Commanument ts reQu[md. (NC upgra�daa over 57300) <br /> � ABent(for Ihe contractor)or Power of Atbmey(tor the owner}would be somearre with nofarized ietter from owner autrorizJng samo <br /> OVER THE COUNTER PERMRTIN6 (Front of Appilcativn Onfy� <br /> Reroo[s if shingles Sewers Sarvice Uppredes A/C Fences(PIoUSurveylFOOtege) <br /> Driveways-Not wer Counler N on puWic roadways..needs ROW <br />