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r, y 51378tt-tIff2D City of�ep}iyrhi}Is F�ermit Appltcation Fax-813-78U-t1U2i <br /> Building Department , <br /> � <br /> • Date Received Phone Contact for Permitting � _0�Z� <br /> Owner's Name Re � Rd er � Owner Phone Number �' 3151^ �'F�� <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I I I 1„I��S �I•���"�'D LOT# � <br /> SUBDIVISION Q.V 4� PARCEL ID# Gv��--tx�o-c�o��3a <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> aIUORIC AROPOSED NEW C1Nd57it • ADDIALT � 51GN � � DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYpE OF'CONSFftUCTItSN Q BCt3CK' Q FRR1YlE' 0 STEEL Q <br /> DESCRIPTION OF WORK ���Ar �Sh� P O��.3 S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> BUILDING ��� , VACUATION�F1'OTAI:'CONSTRUCTION' <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> ��LL�f1BIf�G <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR'ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� �`�'n�� COMPANY '�.�JC..�:,1"l'C�I�� � <br /> SIGNATURE �� REGISTERED / N� FEE CURRE� / , <br /> Address `� �q, � V � License# D�- � ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuanEn Y/N <br /> Address. �cens�#' � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> flTHER COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 I 1 I 1 1 1 1 1 I I i 1 1 1 1 1�'1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 ( 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permlt for new construction, � <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit far subdivisionsllarge projects i <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permi[for new construction. ' I <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Pians w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projec[s.All commerofal requirements must meet compliance �i <br /> SI'GN PERMIT Attach=(?).seis.of Engfneered'Pl�ns. ' <br /> ••"Pl2E)PEfFfI�SFIRVEY required for alf idEW consWclfon. <br /> Directlons:• <br /> Fill out application completely. <br /> Owner 8�oniractor sign back of appticaGon,notanzed <br /> If over$2500,a Notice of Commencement Is requlred. (AIC upgrades over 57500) <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 PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubifc roadways..needs ROW <br />