HomeMy WebLinkAbout05120041-ApplicationRECORD:
PROPERTY
OWNER:
LOCATION
Permit #: 0..~1~70~1
COIVtMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures~ Additions~ Remodels, Tenant Finishes, & Accessory Buildings
BUILDER'S EMAIL ADDRESS
g (If di
PHONE FAX
PHONE ~
~ · and ~M~on
El'ATE COMMERCIAL
DESIGN RELERSE #:
WATER L~
PROVIDER:
PLAN COMMISSION / BZA ! BPW DOCKET NUMBERS; AND/OR
COUNTY WELL MID/OR SEPTIC PERMIT #~J
# of Floors:
(Pr~vateiy
Bldg
F_O_U_N_D.~__~__~: (Check all which
[~ BASEMENT
(or POST & PIER) WALKOUT: Y
ZONING:
5COPE(S)OF C] FDN C] STR o ANCH D MECH C] PLUM
RELEASE: c] ELEC ~ SPKLR OTHER(S):_ FOOTAGE:
SEWER UTILITY ESTIMATED COST OF CONSTRUCTION: .
PROVIDER: (EXCLUDING LAND VALUE)
REMODEL
[] NEW TENANT FINISH
ACCESSORY BUILDING
[] DETACHED GARAGE
.~cCDELL TOWER (New)
ELL TOWER CO~LOCATE
EMOLt'DON
Earl~ Release
Perm it:. Y
Lot Split: Y/~'~N
Does any part of the properD/lie within a special
OFFICE USE ONLY: ************************************************************************
REQUIRED: Filing Fees: ~'~/' ~) 0
r FooUng Under Slab Base Inspections: ~ ~ ~7~ # ChargedReviewsRe-
site Cert. of Occupant-y: ~
/lO(AL,
Services (Date)
=ee Received by: