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""�'°"""""' c;iry at[ephymilis Permit Application Fax-813-7B0-0021 <br /> Bufiding Department ''''�� � � `"� <br /> Date Received 9 �c�' �� <br /> Phone Contact for Permittin `!� ��C� __ (�rJ �� <br /> Owner's Name �(,aSC_v 2.e�- ,�v.c,1C� /�(t��`CC,� C���'�e`/ Own '�,-,2 �_ % <br /> �rrt�r S l�� <br /> � �Owner's Address � �.�3�� ��,' -„� �r'" Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee 3imple Titleholder Address <br /> J08 ADDRESS J��� G G I I C�/(,�� LOT� � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T�TiCE)DEMOLISH <br /> UVORK PROPOSED NEW CONSTR ADD/ALT C� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK ���-�r 0 ��'�-F- �>„�• Il/I` a� � O(J S �� <br /> BUILDING SIZE a� x 7 v � gp FOOTAGE �;J�� HEIGHT �V � <br /> Q BUILDING S - �,/b VALUATION OF TOTAL CONSTRUCTION�,3�j���U <br /> �f �T-` ���.; <br /> QELECTRICAL $ ��/ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> 3 .33�'v . /� <br /> QPLUMBING a , <br /> s ���.� . �-� Z)S-e..f-s . �3 ��-�— <br /> QMECHANICAL $l, ,,/►- VALUATION OF MECHANICAL INSTALLATION � <br /> `, �`' . � C� ��c / ^ <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � �� +S,r,, ,5'G{f�J <br /> � 7'� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N <br /> BUILDER � ��� � � <br /> SIGNATURE .��- ��� � COMPANY �V�?/,< �/�j C,,;�o�/L•t��i�n� <br /> _ REGISTERED Y/ N FEE CURRE� Y/N <br /> -� Address - ----— -- - - _- License# <br /> 2 S�� r <br />'",�c ELECTRICIAN � � COMPANY G-�W!1't e�v (� ��c�f(;`t w J y <br /> hSIGNATURE � <br /> fl'"� � REGISTERED Y/ N FEE CURRE� Y/N <br /> � �ti�� � <br /> '� Address License# <br />.----------- -- _- /7 - <br /> l2�LY'1MBER ��P � o COMPANY /J r�7'f,rr s P I t t�-. L-,��--�. -- - <br /> �;,SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � � <br />� Address License# ' <br /> MECHANICAL �J� � �� COMPANY Q I�t'�G I�c'�f,/ ,�• L , ��G,�l�� 1 O - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadtltles 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans ptus 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,Constructfon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construction. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over S2S00,a Notice of Commencement is required. (AIC upgrades over=7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owne�authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />