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a�a-iau-uuzu Vity ot�epnyrnnis rermit HppFicauon 1-ax-ts'Id-/�U-UU'L1 <br /> Building Department <br /> Date Received 5-2�? �� <br /> Phone Contact for Permlttin `,Z `� ( ' _ p� 7 <br /> Owner's Name � e Op Owner Phone Number ���J "O 3���O <br /> Owner's Address � t� f� ~ �S� Owner Phone Number � <br /> Fee 5imple Titleholder Name ri Owner Phone Number <br /> Fee Simple Titleholder Address IU '�t � � �t� <br /> JOB ADDRESS Q I� �` G ��„�� � 33 S��{ � <br /> u <br /> SUBDIVISION ,�-�,,� �ZeAb►.yr In.,�(S , PARCELID# l �-Z(a -Z I - C�61 p-Q�n pp - <br /> (OBTAINED FROM PROPERTY TAX NOl'ICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER (v�.N,,,,,,, 'f�vSula�ter� UceN I�oow� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME L� STEEL 0 -t, �_ <br /> DESCRIPTION OF WORK �nl5(J�ov{�� v B �c7viw � l:,v,a1c(� �-L ! <br /> BUILDING SIZE �)C I S � SQ FOOTAGE I Z D HEIGHT � IM��c <br /> BUILDING $ ���� <br /> , O O VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGI' O W.R.E.C. <br /> �PLUMBING $ <br /> MECHANICAL � I��� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS [� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER ' � � COMPANY �Vyvl i�I v r-� �GC'�"S C�C �� O t:c��a.. <br /> SIGNATURE �� REGISTERED Y N FEE CURRE� N <br /> Address �� �aoQ.t7��•��;��,\S ( , 3 3SK 3 <br /> License# S Q� / <br /> ELECTRICIAN rJ/� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> PLUMBER N � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> MECHANICAL � � COMPANY <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 after submittal date. Required onsite,ConsUuction Plans,Stormwater Piar,s w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit fo�subdivisions/large projects <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 Piar�s w/Silt Fence installed, <br /> Sanitary Facilities& 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 required for all NEW construction. <br /> ��f�������i�r������� <br /> � i I.uil31 I 1 11 I 11LL 1 I 1 LJ !1 <br /> Directions. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "' Age�t(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authori::ing same <br /> OVER THE COUNTER PERMITTING {Front of Application Only) <br /> Reroofs if shingles Sewers Service FJpgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />