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<br />813-780-0020 <br /> <br />\...111,.1 VI 4o-'""t'"J.. ....- . ~-- I . <br />Building Department <br /> <br />d <br />I '1. 7 -, J J .., f '-I f-I,.. .Au~ <br />Owner's Address ') I I I IT <br />Fee Simple Titleholder Namel <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address <br /> <br />I <br />I <br /> <br />I <br />317Yl <br /> <br />1'-1f-1-" <br /> <br />f\Je <br /> <br />LOT # <br /> <br />PARCELlD#1 <br /> <br />I 0 - L (g - IJ - Db 0 (J -00000 - <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />aUO <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I <br /> <br /> <br />BUILDING SIZE I I SQ FOOTAGE I .2- fo DO I HEIGHT I 111111111111111111111111111111111111111111 <br />I II f 111I111111 f 11111 1111111 11111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />1$ f&)S-tOU <br />1$ <br />1$ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH. <br /> <br />SUBDIVISION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />~~H:A~URE ~ <br /> <br />Address I S ~ ,C;L PO (J 0 k II pt- ..JJYI 4tn ~ J{' l~ License # If {( or/f)7 <br />111/111111111111111111111111111111111111111111111111111111111111 i 111111111111111111111111 i 1111111111111111111 i 11/111111111111 i 11/11111111111111111 <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 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. Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans, <br />*wPROPERTY SURVEY required for all NEW construction. <br />/1.111111111111111111111111111111111111111111111111111111I11I11111I1111I1111I11II1111II11I1111I111I1111111111111111111111111111111111111111I1111111 <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 />** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />o <br /> <br />D <br /> <br />D <br /> <br />D MECHANiCAL r VALUATION OF MECHANICAL INSTALLATION <br /> <br />o GAS ~;:OOFlNG 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I, I FLOOD ZONE AREA DYES DNO . .. <br />11111111111111111111111I1111111111111111111111111111IIIllllllllllllllllllilllllllllllllllllllllllllllllllllllillllllllllllllllllllllllllllllllllll <br /> <br />:~~~~~RE I ~:= I Y I N FEE CURRENT Y I N I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W,R.E.C, <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PLUMBING <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />YIN <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />FEE CURRENT <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 />