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.;13-/tSU-vu[u v��y v� LcN��y��n��.., � ..�.���.. .rp..........,... <br /> Buiiding Department - <br /> Date Received '� .— Phone Contact for Permittin �� <br /> Owner's Name ` �t Owner Phone Number • •� <br /> Owner's Address � b ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � LOT# �� <br /> SUBDIVISION `I 1�r PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT �N MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � )�. + K—Q � �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ �— VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENE J Q ..W.R.E.C. <br /> 0 � <br /> � l ;\ <br /> Q PLUMBING $ ��T[,��V <br /> ! <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS ROOFING 0 SPECIALTY Q OTHER �~-- <br /> FINISHED FLOOR ELEVATION� FLOOD ZONE AREA QYES ��NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# <br /> OTHER ( COMPANY � UU' G r �- � <br /> SIGNATURE Re�isreR�o Y/ N FEE CURRENT <br /> Address S� License# ��—/�3 Z-���"� I <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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working tlays after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> **"PROPERTY SURVEY required for ali NEW construction. <br /> Directions: , <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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 PERMITTING (Front of Application O�ly) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />