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itApplication Fa»813-780-0021 <br /> Building Department <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address J�C 17- 3�L Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS OL \Ja�)-6V!e <br /> PARCEL ID# <br /> WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE , SFR COMM OTHER <br /> TYPE OF CONSTRUCTION V, BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQFOOTAGF------, M, HEIGHT <br /> �-�8U|�DK�� <br /> �-� VALUATION OF <br /> �--�ELECT�[�L ��P8EFn/CE �--� PROGRESSENERGY �-| w��lEc� <br /> ��� <br /> =PLVMoiNG 4,r <br /> =MECMANkCA ,'__-._ _ -__ _- �--' ON <br /> ___// . ~ <br /> GAS �_�� ROOFING �-1 SPECIALTY �--1 OTHER <br /> qN|SHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> �V/LosR COMPANY <br /> oGmxTuRE nsoensmeo rsccunnsx <br /> Address Lioenne# <br /> TusoTsuC|AN COMPANY - c <br /> . <br /> xoNATuRE nsG/orsnEo ,/i1N_] ' psEconRex LY-1 NL_] <br /> AddressLioansa# <br /> �U���� COMP/NY <br /> |oNAJuRE nEG/orEnso 'FesouRnItN .f!iN_l <br /> Address License# <br /> |ECHAN1uAL COMPANY <br /> imNATURE REGISTERED , [_^�/.N_] FesconRsN -�`/!�J_1 . <br /> Address License# <br /> `~ <br /> THER COMPANY <br /> \oNATuRE REGISTERED Hy N ] pEEcueRE^ *1 UN_i,) <br /> Address Liuenoe# <br /> sS\DENTxL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Endrgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> JKxMERCkAL 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(1O)working days after submittal date. Required unoiUa.Construction Plans,8tnmnvat rP|anav/Silt Fence installed, <br /> Sanitary Facilities&i dumoster.Site Work Permit for all new projects.All commercial require m* entn must meet compliance <br /> oNPERMiT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely, <br /> [xwner8 Contractor sign back ofapplication,notarized ` <br /> If ovwr$25oo,a Notice of Commencement is required. (A/o upgrades over$7nUO) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame <br /> /ER THE COUNTER PERMITTING (copy of contract required) ' <br /> vonfsifshingles Sewers Service Upgrades A/C Fonoen(P}n8Sumey/Fontage) <br /> Driveways-Not over Counter ifon public madwaya.onedvROW <br />