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' Fax-813-780-0021 <br /> .-,p,�-,ow;„L� LityotLephyrhillsPsrmltApplication ;.�a��cc� � <br /> `� . Buitding Departrnent �' �y ,t j <br /> ���. <br /> ts Recelved PhonA Contact for Parmit#in ��-.'� ��dZ"— ���G''� <br /> rner's Name �1���/� ���° �J Owner Phone Number ��3— t��'� "'�/� <br /> rnar"s Address �3�� Jll2��f1) �N � 3� Owner Phone Numbsr <br /> e Simpls Titleholdsr Name � � Owne:Phone�lumber � � <br /> a SEmp}e Titieholder Address <br /> B ADDRESS lte�� �1.,° �'Z�` G"' /.� t�,L �t7�t-aJd�Sp/ CD LOT# �_-� <br /> '9DIttIS10N jf-t'Lt)t3flG7 � PARCEL ID# �o� �.� � �o�A G�1 C3L5 f.�G"��Q <br /> (OBT/UNEO FROM PROPERTY TN{M0710E) <br /> )RK PRQPbSED e N£W CONSTR� ADQlA�T [� SIGN [�] [� bEMOUSN <br /> lNSTAI.L REPAlR <br /> .OPOSED USE Q SFR Q COMM � OTHER <br /> PE OF CONSTRUCTlON C,J B�OCK Q FRAME � STEEL Q <br /> SCRIPTIdN OF WORK ��. � G-°"f��r � �'D�j � ��� �1 � CcrjJ2 d�l!'t.�AJ <br /> 4l.DING StZE � � 5Q FOQTAGE[� HEIGHT L�� <br /> QBUILDING �� VALUATtON OF TOTAL CCINSTRUCTION <br /> C]ELECTRICAL _ �6 � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING ($ � <br /> L�� <br /> �MECHANtCAi. $ r1"5-�pw� VALUATION OF MECHANtCAI 1NSTALI.ATION <br /> J <br /> [�„]GAS [� ROOFING Q SPECIALTY � OTHER <br /> IISHED FL40R ELEVATIONS ��� FLflOD Zl�NE AREA QYES NO <br /> ILDER CdMPANY <br /> iNATURE REGISTEREQ Y/ N FEE CURREP Y i N <br /> Address y License# � � <br /> 3CTR1CU4N � COMPANY <br /> �NATURE REGISTEREQ Y! N FEE CURREh Y I N <br /> Address License# �_i � <br /> )MBER ��� COMPANY <br /> �NATURE REGISTERED Y! N fEE CurtrtE� Y!N <br /> Addreas License# ��! �� <br /> GHANICAL � COMPANY +C7/'`J-fffQ S p/?� h�-NE'—C�� �'L' �fV`Cr <br /> NATURE L��C,.ti77��^�i�'i't.L^� REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# ��'�' ��`��� � <br /> �ER � COMPANY <br /> NATURE REGiSTERED Y I N FEE CURRE� Y/N <br /> Address _ Lfaense# r� �� <br /> i1DENTIAL Attach(2)Plot Plans;(2)sets of Bu3lding Plans;{1}set of Energy Farms;R O-W Parmit far new cons#ruetlon, <br /> Mintmum ten(10}working days after submfttal date. Required onsite,Constructian Pians,Stormwater Plans w/Silt Fence instaUed, <br /> Santtary FacitiUes&1 dumpster;Site Wark Permft for subdivisionsRarge projects <br /> AMERCIAL Attach{3)complete sets of Bulfding Plans pfus a�.ife Safefy Page;(1)set of Energy Fortns,R-O-W Permlt for new construcUon, <br /> M(nlmusn ten{1Q}workfng days af#er submitta!da#e. Required ansite,Cons#ruction Plans,Stormwater Plans wl Silt Fence lnstalled, <br /> Sanitary Fac�llUes&9 dumpster.Site Worfc Penrrtit far aN new projects.All commerclal requlrements must meet compllance <br /> M PERMlT Attach(2)sets of Engtneered Plans. <br /> "'"PROPERTY SURVEY required far aM NEW constructian, <br /> etlons: 'k � � -, <br /> F!H out applica8on campletety. �r <br /> Owner&Contractar sign back af apptication,notarized � '' . <br /> If ovar a2500,a Notico af Commencement is required. (A/C upgrades over 57500) , - .� ���� `� <br /> .... � . . ..x°, � <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authoNzing same.� ,-�•��� � ; ,' " <br /> :R THE GOUNTER PERMITI'tNG (Front of Appiication Only) ': - � . � � , <br /> •,};,. <br /> �ofs if sfifngies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) : �� ` - - � . , <br /> , .. _ ,=� L,� . <br /> Driveways-Nat over Counter if on public roadways..needs ROW � � � � � <br /> � <br /> f <br /> � <br /> i <br />