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<br />813-780-0020 <br /> <br />'-.illY or Lepnyrnllls t"'emlll J-\fJfJlIL;cHIUII <br />Building Department <br /> <br />Date Received <br /> <br /> <br />II () 0 y,'z.o Y) <br />I/ft;lf 5 GreP1 Slope ~,. v -L <br /> <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ']15'14 Cd} Avt <br />I Gt'a~q f/tJt"(Ul1 <br /> <br />D <br /> <br />Lot <br />I <br /> <br />B <br />D <br />D <br />h ()(Y\( 5 e..t- l.-\ p <br />BUILDING SIZE 13/ X 5 ) I sa FOOTAGE I }5<il / HEIGHT I <br /> <br />11111 I II ' 11111111 , III , III ' , I , , I 1111111111111111 III ' 11111111 , 111111 ' 1111111 ' 111111111 111111111111 ' I 11111111111111111111 , ' 1111 , I , ' , 11I1111111111 , ' II <br /> <br />1$35,000. 00 I <br /> <br />D ELECTRICAL 1$ /, ODD, ~ c I <br /> <br />D PLUMBING 1$ 250.00 I <br /> <br />D MECHANICAL 1$ L500. 00 I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1111111111 i 11111 i III <br /> <br />::::~~~~RE ~~~ ~~..,.;:,.~~ 11~u.,~-hFE<;!1."/:"-1( Y/N I <br /> <br /> <br />Address _~ License # I I <br /> <br /> <br />~~~~~':N~~ ~~:~:,.~~ 11($;N FEEe""",,' Y/N I <br /> <br /> <br />Address -'--- _ License # I I <br /> <br /> <br />::;:'::'~':.E ~ ~~:~~~ IJt~fd~e!.7~1J Y/N II <br /> <br /> <br />Address _ _ License # . <br /> <br />MECHANICAL~. COMPANY I~G-f__ I <br />SIGNATURE ~ REGISTERED _ YI N FEE CURRENT Y/N <br /> <br />Address License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I License # I <br />11111111I1111111111111111111111111111I111111111111111111111 11111 11111 11111 11111 1I111 11111 ill 1111I 11I11 11111 I lillllllllllllllllllllllllllllllilllil <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, 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 onsite, Construction 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 />II.IIII! 1111111II1111111I11I1111111 111111111 1111111111 II 111111 II 111111111111111111111111111111111111111111111111111111111111111111111111111111111 II <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 />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 AlC <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <br />D <br />D <br />~It <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />273 I LOT # 1273 <br />PARCELID#13~ .25-2J-OJ76- 00000- 2730 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />G OTHER <br />D STEEL <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />~iJbI'lL A,q~ <br />D OTHER I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W,R,E,C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <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 />