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From 05l18/2012 14 04 #864 P 001/002 <br /> .,...�...,...._., vny v�c.cNnrinu�o ra��nn�MNnwai��i .....,.�,. ...,.....� <br /> Bullding Department <br /> Date Reeeived � �� Phone CoMaet for Pe�mlWn <br /> Owrters Name Owner Phone Number � ^ <br /> Owners Addreas Owner Phone Number � � <br /> Fee Slmple Tltbholdsr Name Owner Phone Number <br /> Fee Simple TklehoYder Addrcss � � <br /> JOBAIIDRES3 ��T* [�_J <br /> SUBD1V1910N [� DD DD . ���,�, ab- -U - D �Q39D <br /> (OBTMNED FRON PROpERtY TAIC NOTICE) <br /> WORK PROP03Eq e NEw coNSin 8 ApDlALT �7 SIGN Q Q DEMOlISH <br /> INSTAt1 REPNR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTIOM OF WORK (/(/V� <br /> BUILplNG SIZE SQ FOOTAGE� HEtGNT � <br /> QBUILDlNG S VALUATfON OFTOTAL CONSTRUCTION <br /> QEl.EGTRICAL �� ,qMp SERVECE Q PROORESS ENERGY Q W.R.E.C. <br /> PLUMB�NO $ �J� <br /> MECHANICAL S � VALUA7ION OF hAECHANICAI 1NSTALLATION ��� <br /> OGAS Q ROOFING Q SPECL4LTY � OTHER <br /> FIMSHED FLOOR ELEVATIONS � FlOOD ZONE PREA QYES NO <br /> HU�IDER I T�� COMPANY � <br /> SIGNATURE �msiEnEO Y!N ReE cuarten Y/N <br /> Atldross Ucerwa#� � <br /> ELECTWCUIN CpMpp{,ry � <br /> 31GNATURE qecisiepEp Y/ N p�cUtq� Y 1 N <br /> Addreas Li�e# <br /> PLUAA9ER ( CONpA�lY <br /> SIGttATURE �ps7et�p Y!N r�etmqe� Y/N � <br /> Addrass Llcensa#�� <br /> MECHANICAL ���_� GOYPANY —� <br /> SfONATURE �stEREO /N r�€CURRE� Y/N <br /> Addnes �0� Ucense# � <br /> OTHER COMPAHY � <br /> 8iGNATt1RE peciSTFqfo Y/ N r�a1w�n V!N <br /> Addnss ���g�—�—� <br /> RE910ENTIAL ACach(2)Pbt Plaris:(2)sets of Buiykg Ptans;(1)set of Energy Fmms;R-O-W Pdmit for new construetio�. <br /> MNMmum ten(t 0)working days afier audrdtfal dste. Re�red oreite,Co�strucfbn Plans,SWmnvater Plaru w/Sllt Fence qutelled, <br /> sanlOazy Fsd�6es&1 dcxnyater;Slte work Femilc far�ridlvleioronarqe projeds <br /> COMMERGUt Attach(3}oompete seb of Bu9dk�y Plans plu¢a Llfe Safaty paga;(1)set of Eneryy Foims.R-0-W Pmmit ior new corwtrucflon. <br /> ANntmum fen(10)working days attar submilUl daffi. Requkad anslle,ConstrutBon Plans.Stortnweter Piena w/$Itt Fence h�steUed, <br /> Sanifery Facditles&1 dumpster.Slle Work Permit fpr all new pro�eCS./VI commxdal requlremerqa must meet complience <br /> BH3N PERMTf Atteeh(2)sefs of Hnpineero0 Plms. <br /> ""PROPERlY SURVEY required tor aN NEW conshucUan. <br /> Dirocdons: <br /> Flq out appileation yrompletely. <br /> owner a conaaccor slgn baac of epplicaua,.naxrized <br /> H ov�r S25pp,a Notiw of Commenqma�t is nqui�ed. (A/C upyr�des over i75D0) <br /> �' A6lM(for the COnirac6w)or POw9t oF AtlnrtleY(for tltC OvYfler)WOUId b8 90meonB wNh IIDfS�iZRd 1ltle7�fOm DWner OUCrortrinQ same <br /> dVER THE COUNIER pERM17T1NG (FroM of ApypcaUor�Only) <br /> Reroots H shinples 5ewers SeMCa Upprades AJC Fences(PbVSurvey/Pootage) <br /> Driveways-Not over Count�If on public roadways..needs ROW <br />