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CltVof_'phVrhi|\8 Permit Application Fox-813-780-0021 <br /> Building Department <br /> Date Receive'd Phone Contact for Permitting c0rv) <br /> Owner's Name R �Wm �nc 0 zags Owner Phone Number <br /> 3 Owner Phone Number <br /> -Fee Simple Titleholder Name IS-n VVLC- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SUBDIVISION P�o�I� <br /> ' (OBTAINED FROM^^~E^'TAX NOTICE) <br /> � <br /> WORK PROPOSED E5wewcowy�n ADo8\[r �--1 SIGN [--| [--1 DEMOLISH\NaT�LL �_\ REPAIR <br /> PROPOSED USE = eFR F--i COMM �--� OTHER <br /> TYPE OF CONSTRUCTION r-1/7- BLOCK �—1 FRAME F---� 8TEEL �--1 <br /> BUILDING SIZE F7 �l utff HEIGHT . <br /> i]8UILD|NG VALUATION OF TOTAL CONSTRUCTION <br /> �—�EUE�T��AL AMP F--� PROGRESS ENERGY �—1 YV.R.EC. <br /> ���� <br /> �--7pLU��U�� <br /> �--� <br /> =MECM8NkCAL VALUATION OF MECHANICAL INSTALLATION <br /> �—�GAS �—�� ROOFING �� � SPECIALTY OTHER <br /> DTHER <br /> ��� <br /> FINISHED FLOOR ELEVATIONS F I Lo FLOOD ZONE AREA i_]YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REo/orsRso pseounne^ L�Y/NL I <br /> Address License# <br /> ELECTRICIAN ooMp/wNY <br /> SIGNATURE L_YiN pEsconnsN <br /> , Address License/ <br /> P�D�8�8 COMPANY <br /> SIGNATURE I nsa/sresEo `Y/_N_] 'psscunnd^ I `f!|N_� <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE , �^yi*N FEE:uRpEN —t�./i|�_1 . <br /> Address Livenva# <br /> OTHER COMPANY <br /> SIGNATURE n�o/orsmso ��y��_� �secun�ex i`/!N_]J <br /> Address License# <br /> RESIDENTIAL Attach(q Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;13-0-W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Faciitles&I dumpster;Site Work Permit for subdivisions/large 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 new construction. <br /> Minimum ten(iO)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faci|itioaG1 dumpoher�Site VVodkPermit for all new pn�e��./�\oommonja\raquimmentsmust meet compliance <br /> SIGN PERMIT A1�ch(2)s�snf Engineered P\ana. <br /> **~PROPERTY SURVEY required for all NEW construction. ' <br /> Directions- <br /> Fill� � _ <br /> ooLappUooUonoompletely. <br /> Owner&Contractor sign back of application,notarized <br /> If over*2s0o.a Notice of Commencement isrequired. (VC upgrades over$T5UV) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) ' <br /> Rnmofs if shingles Sewers Service Upgrades A/C Fonooa(Plot/Guwey/Footege) <br /> Driveways-Not over Counter ifon public mouvays..needsROW <br />