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-- uityCt /ephvrhi\ispeFOlit/\op\icBtoO ' Fa+813-780-0021 <br /> Building Department <br /> 1phone Contact for Permitting ) , <br /> Date Received C AXA) <br /> Owner's Name Hx:�z Inc- Owner Phone Number �,\l - "Lj 9(a <br /> Owner's Address <br /> 7^—Owner Phone Number ' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / <br /> JOB ADDRESS <br /> oUoam\o\oN |o# <br /> — (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED wawcowsTn A�b�J�� �--� 8\GN F--1 �—� DEMOLISH[__] INSTALL �_� REPAIR <br /> PROPoaEDUGE F—� SFR �—| COMM �--� OTHER 7777777 <br /> TYPE OFCONSTRUCTION �—��' BLOCK �—1 FRAME �---1 STEEL <br /> BUILDING SIZE � ' <br /> [__]BU|LD|NG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR|CAL AMP SERVICE F--1 PROGRESS ENERGY [--\ YV.R.E.C. <br /> =pLUMB|NG <br /> =MECH8NICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> F--lGAO r�rl 'ROOFING' F—� � SPECIALTY 7---� OTHER <br /> FINISHED FLOOR ELEVATIONS —7FLOOD ZONE AREA =YED NO <br /> BUILDER COMPANY <br /> SIGNATURE m�� �snso ` <br /> REGISTERED I' <br /> Address <br /> ELECTRICIAN �oOMPANY <br /> SIGNATURE nso|arceeo �psE CbRRsN - <br /> Addmos Uounae# <br /> PLUMBER F_oCOMPANY <br /> SIGNATURE meo/orEnso <br /> Address Uoonsn# <br /> MECHANICAL COMPANY <br /> SIGNATURE .neo|srEnso <br /> Address <br /> OTHER 'COMPANY <br /> SIGNATURE 'nesmrsseo <br /> FEE CURREK <br /> Addneso Uconae# I cc <br /> � x x x n u III ell n u xiJx x n u I x x <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(1U)working days after submittal date. Required onsho.Construction P|an�8tarmva�rPbmovwG�Fence ina�||od. <br /> Sanitary Fe�|iduo&1dumps�r;Site VYorhPnnn�for aubdiNs|ons8orgopn4e�a '` <br /> COMMERCIAL Atfach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy --o.R'[-Nlpemi|t for new construction. <br /> Minimum ten(1O)working days after submittal date. Required ono|ia.Construction P!ans,Stormwater Plans vl Silt Fence installed, ` <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements <br /> 'must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> °°°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> If over$26VV.a Notice p,Commencement isrequired. (A/C upgrades over$J5VO) <br /> °~ Agent(for the contractor)or Power of Attome�(for the owner)would be someone with notarized letter from owner autho rizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rumofsifshingles Sewers Service Upgrades A/C Fenoem(P|ot/8umay/Footage) <br /> Driveways-Not over Counter ifon public modvayo,needsROW ' ' <br /> - <br />