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ury or zepnymitis Permit Application Fax-813-m-mi <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitfin 1( �/� )3L67 - Qf <br /> Owners Name t _MRINJARb IWEIRCRF- Owner Phone Number <br /> Owners Address -7t?/Z 111116. owner Phone Number F <br /> Fos Simple Titleholder Name. 1 71 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F3-7q/2 27-4 Pyle, zTPt4LfPi4rtq LOT# <br /> SUaO"V SION F7 I PARCEL iD#I'/O- &-2/ -0 6 ct 6) - 0 03 0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR r7 ADDIALT SIGN F-1 r--j DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSEDUSE = SFR 0 COMM = OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK FU��WrTot%l Or RQQF-H00AJTrc6 P14MV0trPW to PYQIV,6t <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> [Z . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . <br /> BUILDING 1$2 1112 -00:1 VALUATION OF TOTAL CONSTRUCTION <br /> E6�LECTRICAL IS R. q q F- AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING is 7"ZqL'77 <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . .. . <br /> BUILDER 'pqOMIPANY VZVEAJT'-�111'1*P 1)F'V'CW,067'f <br /> SIGNATURE REGISTERED YIN I FEECURPEN LILN J <br /> Address !W110 W 1411ARM -A V:C4 DD- A V License III FEC—/3 ORP 7 L/6 <br /> LAN ELECTRICIAN COMPANY F\/Tvrar'�tngk �F-atole6pl <br /> SIGNIATURZ::� '�eLr~� REGISTrRED I Y/ N I FEE cuRREN I Y/N <br /> Address �-,O N .0A License#1 r-r f'3 ce b-P q 6 <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED YIN I FEECUFute\ <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE FtEGSTERED I Y/ N FESCUPREN I Y/N I <br /> Ackh. F- license# <br /> OTHER COMPANY = <br /> SIGNATURE E REGISTERED I YIN I FMCURREN LLLN_j <br /> Address License#F- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal date. Required onsitej Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.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 /> & . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Directions <br /> : <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 noianzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerooft if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public readways..needs ROW <br />