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13-14662
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2013
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13-14662
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Last modified
7/25/2014 12:42:08 PM
Creation date
7/25/2014 12:42:07 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
13-14662
Building Department - Name
MAHILUM,FLORDELIZA
Address
4740 4742 17TH ST
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c,�.,—rv�—..��., via� v� ._vp.�������� . ..���.... .��..__...... <br /> Building Department <br /> . <br /> Dats Recsived Phons ontact f.or Pe ittin �1 Z.�9 — q' <br /> Owner's Nama � '2.p A Owner Phone Number 2GU i—3H/` �7� <br /> Owner's Address �� �d ►�rh sT Owner Phone Number � <br /> Fee Simpla Titleholder Name � ar Phons Numbsr <br /> Fee Simple Titleholder Addreas '�` � '�� ,S T <br /> JOB AQDRE38 �7`�b 17 7�h ST 2�Pti�y h�1 t s 3 3 s5�'z �ot� i� <br /> 8UBA11/181�N IMoc 2�S 1 ST AC�c� PARCEL ID# �'N�-2!o- 21- Oe O--C9�7�e+ -��Z O <br /> (OBTAINED FROM PROPERTY TAX NOTIl3E) <br /> WORI€<PRf�O$ED B NEW CoN57R 8 ADD/ALT Q SIGN Q Q DEMOUSH <br /> INSTALL 17EPAIR <br /> PROR08ED.USE Q SFR �] COMM Q OTHER <br /> TYPE OF CON87RUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP'fION OF WORK -tN sTA�r J��.' O t �{r /��� � j � FC+J�t <br /> BUILDIN(i 31ZE SQ FOOTA(3E� HEI(iHT <br /> �'�UILDING S ��.7�, �Q VALUATION OF TOTAL CONSTRUCTION <br /> C]ELECTRICAL �� AMP SERVICE Q PROC3RESS ENERGY Q W.R.E.C. <br /> QPLWMBINCi a <br /> V LU TION OF ME HANICAL INSTALLATION l ������� �� <br /> QMECHANICAL � A A C � (oyt, l <br /> �,t!_L <br /> Q(3AS Q ROOFING Q SPECIALTY � OTHER `-' -�''� � � <br /> �L, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N�� <br /> G (��2� �l'' <br /> BUILDER COMPANY �ocw�eS Ncmt, c.e���2� �nl c. <br /> 81GNA7URE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o (�o� � �i�S �1'A�d° ��-�7�' uce�se# G�oG I 50 ��17� <br /> ELECTRICIAN COMPANY <br /> SICiNATURE REC3ISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> PLUMBER � COMPANY <br /> 81�NAtURE REGISTERED Y/ N FEE Cu�tEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 31(3NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � � <br /> OTHER COMPANY <br /> $K3NAYURE REf31STERED 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 consUuctlon, <br /> Minlmum ten(10)w�orking days after submittal date. Required onsite,ConstrucUon Plans,Stormwat�Plans w/Silt Fence i�stalled, <br /> Sanitary FadllNes�1 dumpster;Site Work Perm!t for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pennit far new construcUon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,ConstrucUon Plans,Sbrmwater Plans w/Silt Fenpe installed, <br /> Sanitary Fadlides 81 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance <br /> 81(iN PERMIT Attach(2)seb of Engineered Plans. <br /> Ri��PROPERTY SURVEY required for all NEW construcUon. <br /> DlrecNons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign badc of applicaUon,notarized <br /> If over s2500,a Notice of Commencement is requlred. (A!C upgrades over=TS00) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER P�RMITTINO (Front of ApplicaUon Only) <br /> Reroofs if shtngles Sewers Servtce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubNc roadways..needs ROW <br />
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