Laserfiche WebLink
. <br /> � ati�-aes�zo, �i��oi�e�h�rchikts.Pscmit-A��#i�a#ion Fax 813-78SS-43021. <br /> , ''L`ur;tl�.�-_�0.zr7Y�.W12,M.- <br /> oe,��;v� �, a � �����fa����,g �.�I� � <br /> -a-e-e-re-r-e-r - - - �-r-r - <br /> Owner's Name L� � Owner Phone Number <br /> OwneYs Address � Vw' � Owrter Phone Plvmher <br /> Fee Simple 7tfleholder Name Owner Phone Number <br /> .=��:�:��;:��,�:��:::�- 3 �V V' rl <br /> �., <br /> JOB ADDRESS { ��'� LOr it ,� <br /> SUBDMSIOId ;LV � PARCEL7D� <br /> INARICPROPDSED NEW.COMSTR�MDD/ALT <br /> � SIGN NED FR�OM PROPERiY T�T10E)DEMOLISH <br /> INSTALL REPAIR <br /> j PROPOSED USE SFR Q COMM Q OTHER <br /> � 7YPE 4F CO[USfRU�71flPd SLJCK. � EPJ1.'�;E. Q STEEL. Q I <br /> � DESCRlPTiON OF WORIf, ��� ��� � <br /> , <br /> •�~`"""" BUILDING S2E SQ FOOTAGE�: HQGHT ��� <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> .��PLURABitidG .S <br /> . y 3 <br /> I <br /> �n7re���ar�r� vr�Luw-nanr�F r�ecHruvi�z���sr�umow � <br /> �GAS .� ROOFiNG .� SPECIALTY � OTHER <br /> \FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA QYES NO <br /> BUILDER COMPANY <br /> • 53�'aCdAYIJF.E REGI5CEBE� - 't'P N� r'cECii �ic . Y r"t'E <br /> address � Q� ,._:. L . l �{'� ucense#� �cl$"l�� <br /> ELECTRICfAN COMPRNY <br /> StGNATUfiE REGISfERED Y1 N FEEcuaREh Y!N_ , <br /> Address License# I <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> 'i=r:.�sa�s-s: �� -9 ::�r.;._,'.-•' �- <br /> - mec�ic�u. " -cannPacur <br /> . SIGNA7CJRE - �aEGlsr�o Y7'N �e�uw� i'%N <br /> Address License#' <br /> UT�1ER COMPAiJY <br /> SIGNATURE REGISTE�o Y/ N �curtaEn Y/N <br /> Address �icense# <br /> �'�., n-� . i•� _�.}' 'i.: .$�'i::;.�E _ . $'"e$'_s 4' ?' A,,._ _ _ ' �'' _ _ <br /> a` e . �`� '•�^ .e.". p..� ,.. ... G,��s..�, c.�;.j.�a:p.1�F:�17'�� ^'.n z_�..r.e�.��d:1�:t`'�e:a4.S y F`�fi��.t��� � <br /> RESIDE4UTIAL Altach.(2j Plot Plans;(21.sets of 9uilding plans;(i}set of;Energy Forms;R-O-W.Permif fo�new.consWction, <br /> Minimum ten{10).swr&ing days after suhmittaf date. Requir2d onsFfe.CbnsWclion Pfans,Sformaefer Ptans w!Si[t Fence instal(ed, <br /> San{tary Facilities&1 dumpster,Site Work Perm@ for suhdivisionsltargeprojects <br /> COMMERCIAL Attach(2)compiete sets o►Buildirtg P►ans pius a Life Safety Page;(.t}seE of Energy Focros.R-O-W Pe[mit for new constcucnion. <br /> Minimum ten(10)woski�g.days aRer submittal date. Requiced onsite;Constreaction Pfaas,Stormwater Plans w!Si{t Fence Instalied, <br /> Sanihary Faclities&1 dumpster.SiCe Woric Pertnit for all new projects.All commerdaf requirements must meet crompiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ""PROPERTY SURVEY required far all NEW cronsWction. <br /> XJI-� <br /> Direetions:• <br /> Fill out eppiiration campletely. <br /> Jwsseri�c:L2C�:w'gn beck c,`app'.3c��.�.so:as's.-.ed <br /> ."-GY,:'�,....*.F:y}_:;i'4�i�i:+s.'€'�:L4s,'i='e,�1:J"..:_'.,;::Si".f'.,i::;:k'i{� *is�;�i:;i�tSi±L,'rk�_>;.s.�=bc� <br /> " /�qerii(fui-ihe cnntrarlor�orPower of Attomey{(oriha o�merj vrouim'be someanew�tA nofarized fetter irom owner aulhor¢ing same ' <br />' -OdfR.7HE��0UN7ERPERN{IISiNG jcopya6coMractrequired) <br /> Reroofs�s}iingles Sewers Servicetlpgredes i49C 'Fences•{f�ldU5vn2y1Fodtayey <br /> Driveways-hlot over Cou�ter ii on public roadways.,needs ROW <br />