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<br />813-780-0020 <br /> <br />\,JILl VI '-'"',.,..J......-. ~._- <br />Building Department <br /> <br />Date Received <br /> <br /> <br />~ob .~ C\l... <br />5-1~ A <br />v'€ . <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />13SCftf8 <br />I <br /> <br />5-+~ <br /> <br />A v'f <br />I <br />.~ <br />D <br />D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />1/ -;( C, -;). ( ...cola .-/7.J60 - 00/7 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br /> <br />DESCRIPTION OF WORK ~c...,^ -e t -eO \ . "2-C5{.:.:>. p.rt't""'l . <br /> <br />BUILDING SIZE I j I 3c?O. I SQ FOOTAGE I If 30 d I HEIGHT I I <br />111I11 III , , .111111 II ' 111111111111111111111111111111111111111111111111 ~ 11111111111111111 ; 11111111111111111111111111111111111111111111111111111111111 <br /> <br />1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />o MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I. I FLOOD ZONE AREA DYESDNO . .. <br /> <br />I1111111111111I111111111I1I1111111111111I1I1I111111I1I1I111111I111111111111111111I111111111111111111111111I1111111111111111111111I1I1111111111111I <br /> <br />:~~~~RE I ;:::::.::;:, I Y / N FEee...."" Y / N I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br /> <br />I License # I I <br /> <br />1111111111111111I1I111II1111I1II11I1II1I1II1II1II1I1111111111111111111111111111111111111111111111111111111.1Ilillllllllllllllllllll <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) WOrking days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslte, Conslructlon Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />**'~PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: . <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />-II.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from .owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />o <br /> <br />BUILDING <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />!lorn -eO WI? e r <br />I Y I N I FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />,; <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />