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UltyOtZephyrh!11sPermit pplicattion Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 5�ai AkA)dr�,,OrAtn coo <br /> -Ail <br /> Owner's Name inc- Ow er Phone Number 19(. <br /> Owner's Address Ow er Phone Number <br /> Fee Simple Titleholder Name Ow er Phone Number <br /> Fee Simple Titleholder Address' <br /> JOB ADDRESS b V- 'l 11 F. 33 Z LOT# <br /> SUBDIVISION 'Oct A- PARCEL ID# T -6- bi 40-0 0 lbo - <br /> 1. 1 - �(OBTAINED FRdm PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF7 ADD/ALT SIGN DEMOLISH <br /> E � INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM THER <br /> TYPE OF CONSTRUCTION E:2- BLOCK Q FRAME -TEEL <br /> DESCRIPTION OF WORK <br /> \J <br /> BUILDING SIZE SQ FOOTAGE EIGHT <br /> =BUILDING VALUATION OF TOTAL CON TRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL INS <br /> VALUATION OF MECHANICA TALLATION <br /> T R <br /> U <br /> N� <br /> =GAS ROOFING' SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 11-44-4- <br /> 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY Inc. <br /> SIGNATURE REGISTERED JY/ N I FEE CURREN I Y/N <br /> Address License# I <br /> ELECTRICIAN COMPANY _4mrV) C—_JfC-4-roie <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address 5&;.-A -S? License# <br /> PLUMBER Q I U W, <br /> SIGNATURE COMPANY REGISTERED FEEIbURREN I -YIN <br /> Address Fit sib omeieh s4-e 4a License# 1 cpc m:� )3�- 1 <br /> MECHANICAL COMPANY R'%r SkES. <br /> SIGNATURE REGISTERED FEE CURREN LYL/N <br /> Address 1-510 D>SlNer (I- Mq.�,ka&6_v -?Uun License# FCA U>33 W9 <br /> OTHER COMPANY Jjr�r,\ Cart <br /> SIGNATURE REGISTERED JY/ N FEE CURREN LILN__] <br /> Address �)w 061+-94- License# I CC 13 <br /> RESIDENTIAL Attach-(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,-Con truction Plans,Stormwater PI w/Silt Fence installed, <br /> R 3n <br /> y 0 tr <br /> u�N I tio P n <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large pr jects <br /> 't <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set f Energy For ms.R-6-W Permit for new *construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Con truction Plans,Stormwater Plans wl.qilt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All ommercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: - - - --- - - - - - - - - <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$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with not rized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> ,- <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlottSurvey/Footag <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />