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813-780-002U City of Lephyrnills i-ermit Applicauon �^ <br /> Building Department r <br /> Date Received r Phone Contactfor Permitting .3 I lS1 <br /> Owner's Name ALRU 141111downer Phone Number <br /> Owner's Address 51,2,9- r Owner Phone Number <br /> Fee Simple,Titleholder Name v Owner Phone Number <br /> Fee Simple;Titleholdee ddres <br /> l:S <br /> JOB ADDRESS S- r 1W121 5 /6 PSYA LOT# <br /> SUBDIVISION PARCEL ID# rapovo ,U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 = DEMOLISH <br /> R. INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE.OF CONSTRUCTION = BLOCK 0 'FRAME �, STEEL 0 <br /> DESCRIPTION OF WORK f ' B X T /200IV7 tWEL/ A Nell ®we_- <br /> BUILDING SIZE /` /2 SG1 FOOTAGE ..�3a ® HEIGHT •. 9 <br /> Q�BUILDING $38�8 VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> AL a <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /v <br /> =GAS <br /> = ROOFING Q SPECIALTY = OTHER 11 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> e <br /> .BUILDER i <br /> COMPANY' r4n- <br /> P��� <br /> SIGNATURE REGISTERED I Y/ N ' FEE CURREN Y/N <br /> Address /k42r-Aa r license,# ; <br /> - <br /> :ELEC.TRI,CIiAN- COMPANY <br /> `SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address` License# <br /> PLUMBER." COMPANY- <br /> SIGNATURE REGISTERED Y/ N'' FEE CURREN LY/N <br /> Address License#, <br /> MECHANICi�L COMPANY. <br /> SIGNATURE-. ' ' REGISTERED Y/•N FEE CURREf\ .. .'. Y/N '. <br /> Address'- License.# <br /> OTHER`.- :::~:':...,,. COMIPAiNY <br /> SIGNATURE: :: ;'' REGISTERED Y/.N FEE CURREK Y/N <br /> Address_:,.- ;:� ;�'._. .-., :,•.. - License# <br /> RESIDENTIAL Attach 2, PIotP-,lans '2•sets`ofi Buildiri Flans; 1= sef`of Ener Forms;R O=VV Permit for n6w,ccinstivction,. <br /> days,aftecsutimitt,date.:Required`onsite 'Constriction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary,,acdities.-&1F dumpster.;Site Work:Permit forsubdivisions/large projects'°. <br /> OMIM ERGlAiI. Attach°(2)complete'sets of`Building Plans pus a Life Safety'Page;(1)set of Energy Forms.R-O-W Permit 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 fog all-new:projects.All commercial requirements must meet compliance <br /> 'SIGN:.PERNtlIT Attach°(27 sets.:ofEngineered.;Flans - <br /> ****PROPERTY SURVEY required for.all;NEW,.construction::. <br /> ------------ <br /> - <br /> Fiil`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$7500) <br /> Agent.,(for�t6 a con6ct6r)�9r Power of Attorney(for'the owner)would'lie someone with notarized letter from owner authorizing same <br /> ,;.,..:OVER-'.THE'COUNTER:PERMI7TING.,, (gQpy-of�contract-required) <br /> Reroofs if shingles Sewers'.' Service:Upgrades A/C' Fences(Plot/Survey/Footage) <br /> ,,-- ....-....... ...6. <br /> Driveways-Not over Counter if on public'roadways::naeds ROVU <br />