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o�o-�ou-vucv �,i�y ui �tsNiiyiiiuia rcii�n�r�NNn�.auvii ,...,,..,, .,,,, _„_. <br /> Buiiding Department <br /> �� cti <br /> Date Rscelved phane Ga�tact for Permittin ( <br /> Owner's Name � Ow�er Phone Number �f 3 ' � � <br /> Owners Address �� %���er�ne Number <br /> Fee 8imple Titleholder Name � Owner Phons Number � <br /> Fee 8imple Titleholdsr Address <br /> JOB AQDRE33 "� �� LOT# � <br /> SUB[�IV.ISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTI�E) <br /> WORIC PR�R,OSED NEW CONSTR ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL 8 aEPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL Q <br /> DEBCRIPTION OF WORK � / �C� — �� ��( <br /> BUILDINO 81ZE SQ FOOTA�3E HEIt3HT <br /> BUILDIN � � VALUATION OF TOTAL CONSTRUCTION _ <br /> �.. -- <br /> [,�ELECTRICAL AMP SERVICE PROC3RESS E��Y C] .R.E.C. <br /> QPLUMBIN(3 $ � 1�� ��/ <br /> �MECHANICAL � p�� � VALUATION OF MECHANICAL t �1LLATIO�(�(�f �—�C� <br />``�-__--- ------------� <br /> � <br /> �AS � ROOFIN(3 � SPECIALTY C� OTHER �(,L�' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 81ONATURE REGISTERED Y/' N FEE CURRE� Y/N <br /> Address Ucense# � � <br /> ELECTRICIAN COMPANY <br /> s���T�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I <br /> PLUMBER COMPANY <br /> 31ONATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY I� �e S G U� �� �. � S p <br /> SI(iNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address � Z. �ss��o /3I�J T�A- FL �3��� uoense# GA� 1813 3 bS�I <br /> OTHER COMPANY <br /> SIONA7URE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � � <br /> RESID�NTWI. Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new construcUon, <br /> Minimum ten(10)wo�icing days after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary FadflUes 8�1 dumpster;Site Work Permit for subdivislons/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permft for new constnicUon. <br /> MinimUm ten(10)worlcing days after submittal date. Required onsite,ConstrucUon Pians,Stormwater Plans w/Silt Fence irstalied, <br /> Sanitary FadUdes 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meeC comptiance <br /> 31(3N PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out applicatlon compietely. <br /> Ovmer 8 Contractor sign back of applicatlon,notarized <br /> If over,:2500,a Noti¢s of Commencement Is requlred. (A/C upgrades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlo�Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter ff on public roadways..needs ROW ° � <br />