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' <br /> ' -- uity ot/ephyrhU\8Permit ApplicatiOn ' Fax-813-780-0021 <br /> - Building Department <br /> . <br /> � <br /> Date Received ZD Phone Contact for Permitting I akap-M. CA�-kor�co-, <br /> Owner's Name �nC Owner Phone Number <br /> Owner's Addressl 17-(ig o?,' e r n Pa-p y- J—amon 33 ' 3�L Owner Phone Number <br /> .Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Q 'UO-7+ Tr-, ZPASJ&11st El S35�0 LOT# <br /> PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED FVI NEW CONsTR ADb/ALT SIGN DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSED USE � `"" �-� COMM � � "...E ` <br /> TYPE OF CONSTRUCTION F�VY BLOCK �—1 FRAME F---� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 9Q FOOTAGE Z?'F� HEIGHT <br /> ' <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> -W-­24 <br /> =MECHANIIDAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �—�GAS �-�� ROOF|NG* �-l � SPECIALTY �---1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - <br /> BVILDER0 <br /> COMPANY <br /> SIGNATURE REGISTERED FEE CURne <br /> Address Uoonoe# cc) SCM2 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE soIsrsxeo <br /> Address Ucenaa# <br /> PLUMaER COMPANY <br /> SIGNATURE aso/nTsneD <br /> Address <br /> MECHANICAL <br /> SIGNATURE 3-1 e REGISTERED --(/-N FEECURREN -J��/N <br /> Address Licenao# <br /> OTHER COMPANY <br /> SIGNATURE n�o/��nso <br /> FEE CURREN ____J <br /> Address Lionnee# <br /> xxmxxxxunnnx � muxxou � xxn`mmxxx �� uxxxnxmxux » � uxxxxoxxVxuxxxmxxxxKm � xxx <br /> RESIDENTIAL Attach(2)Plot�Plans;(2)a�scf Bui|�ngPlans;(1)set pf Energy Forms;R-D4W Permit for new uona�uoUun. <br /> ' Minimum�n(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpstac Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atfach(2)complete sets of Building Plans plus a Life Safety Page-,(1)set of Energy Forms,R-O-M/Permit for new 'coustruoUnn. <br /> Minimum ten(iO)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fad|itioo&1 dumpoter.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered P|�no. <br /> ~°°*PROpERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$26ou^a Notice of Commencement imrequired. (A/C upgrades over$75O0) <br /> Agent(for the oon�adm�or Power of/�om (for �nmowner outbo��n same <br /> OVER THE COVNTERPERMITTING (copy of contract required) <br /> Raroofsifshingles Sewers Service Upgrades A/C Femnoo(PioV8uwey/Footage) . <br /> Driveways-Not over Counter ifon pub|iomodvaym..naeds ROW <br /> ` ' <br />