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v�v-�v�-���.. v�a� v� �.,N������,� ... . ..�.��... .��.._�.._.. <br /> Building Department <br /> , " A <br /> Data Received Phona¢ontact f.or Per�nittin Yl 3 <br /> Owne�'s Name � � Owner Phona Numbsr - g " 3�b 3 <br /> Owners Address Z-D Owner Phone Number <br /> Fee 8impie Titleholdsr Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB AQDR�38 ��-O 3 ST `i �i�I S �`L ��S � LOT 1� � '�' $ <br /> 3UBDIYISIDN � 2 ' �� i 1 S PARCEL ID� 'Z6^21 - OO l� � r"'��" U�('0 <br /> (OBTAINEEI FROM PROPERTY TAX NO'FICE) <br /> WORI(_PROA..O$f� e NEW CONSTR 8 ADD/ALT [_,J SIGN [� [� DEMOUSW <br /> INSTALL f7EPA1R <br /> PROt�08rE4.USE Q SFR [] COMM � OTHER <br /> TYPE OF CON87RUCT10N Q BLOCK Q FRAME C,.] STEEL Q �1 <br /> DE3CRIPTItiN OF WORK /V S?q!/ 3 2.� O�" (O� N� 1,�Y L r cn�c.e � Z S � A�� g A'r�:5 <br /> BUILDIN(3 81ZE � 8Q FOOTAOEC� HEt�3HT <br /> QBUILDING S � VALUATION OF TOTAL CONSTRUCTION <br /> �� �,oa <br /> �]ELECTRICAL (�S� AMP SERVICE Q PR0C3RESS ENERGY Q W.R.E.C. <br /> �_ <br /> QPLUMBIN(3 3 �f�/�c�J„ r <br /> � f�'�l� � <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> 0 <br /> GAS Q ROOFING Q SPECIALTY �] OTHER `f� / � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G C�ti2.a 1�� <br /> BUILDER COMPANY L Ow�eS �cn+C Cea�'G2� �r/t- <br /> 31GNATURE REGISTERED Y/ N FeE Cu�E� Y/N <br /> address O �01� � �� a�A�tdv ��-878' ucense# IC�roG � SO ��'i�!� <br /> ELECTRICUIN COMPANY <br /> 81(iNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C � <br /> PLUMBER � COMPANY <br /> 31�NA'TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURltE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIONA7l1RE REOISTEREp Y/ N FEE CURRE� Y!N <br /> Address License# � � <br /> RESID�NTIAL Attach(2)Piot Plang;(2)sets of Buliding Plans;(1)set of Energy Forms;R-O-W Permft for new constructlon, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Siit Fence i�st�lled, <br /> Sanl�r,�Fadl(tles&1 dumpster,SFte INork Permit for subdiv�sions/large pro)ects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrnit for new consfrucdon. <br /> Minimum ten(10)working days after submittal date. Required onsiie,Constructlon Plans,Stonnwater Plans w/Sift Fence installed, <br /> Sanitary FadllUes 81 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compilance <br /> SICiN PERMIT Attach(2)sets of Engineered Plans. <br /> •"""PROPERTY SURVEY required for all NEW construcdon. <br /> Dlrsctlons: <br /> Ffll out appl(catlon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over t2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autho�izing same <br /> OVER THE COUNTER PERMITTINCi (Front of Applicatlon Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on publfc roadways..needs ROW <br />