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813-780-0020 City Ot LepnyrhillS Hermit Appiwavon rax-ova-rou vvci . <br /> Building Department <br /> Date Received phone Contact for permitting <br /> --- ........ ........ I V:Fff��J <br /> Owner's Name nc�S �.{ • �CA T` Owner Phone U 1, <br /> Owner's Address �J�TLPI21 QC C�1 L�$ Owner Phone Number C - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS.' J�] 2.1 Q � 1 l �J�JS�Z LOT,# <br /> .SUBDIVISION. . . PARCEL ID# ' VD��.� `0 0$�"��IJ��'. •(�(���'; ;`._ . <br /> (OBTAINED FROM'PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q MOVE 0' DEMOLISH, ' <br /> e INSTALL e REPAIR _ <br /> PROPOSED USE- Q SFR Q COMM . OTHER <br /> TYPE OF CONSTRUCTION Q� l BLOCK 0 FRAME Q STEEL•.' Q - OTHER . <br /> DESCRIPTION OF WORKt1�.` y21�I"��v -4t3 2.00 Am <br /> BUILDING SIZE . ' ' ' SQ FOOTAGE HEIGHT C <br /> Q BUILDING 7 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ <br /> pp AMP SERVICE PROGRESS ENERGY W.R.E.C• <br /> ' ,3 20d . 0 <br /> Q. PLUMBING $. - <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS 0 ROOFING- 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES QNO- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE_CURRENT Y I N <br /> Address License# .. <br /> Irk <br /> ELECTRICIAN - '�— COMPANY M4 �r. � LC.i'�'�C <br /> SIGNATURE REGISTERED Y/'N FEE CURRENT <br /> Address. License# <br /> PLUMBER COMPANY <br /> SIGNATURE. .' REGISTERED Y/`N' FEE CURRENT <br /> Address License# '• <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT -YIN <br /> Address License#' ,`. <br /> OTHER , COMPANY <br /> SIGNATURE REGISTERED ' Y/ N FEE CURRENT Y/N <br /> Address . License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets'of_Building Plans;(1)set of Energy Forms;R-O-W Permit for new coristniction, " <br /> Minimum,ten(10)working days after submittal date., Required onsite,Construction Plans,Stormwater Plans w/'Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsliarge projects. <br /> -COMMERCIAL . "Attach(3),complete sets of Building Plans plus 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,Stor-water Plans w/Silt Fence installed, <br /> Sanitary Facilities&I.duimpster.Site.Work Permit for all new projects..All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required•for all NEW construction. <br /> Directlons: <br /> Fill 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$5000) <br /> "- Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING "(Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />