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<br />813-780-0020 <br /> <br />\...1111 VI ...-t'IIJ......-. _.-- <br />Building Department <br /> <br />Date RecelveQ <br /> <br />Phone Contact for Permittin <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />z/~~ 3&s((l;L. I LOTi 1{)I;fO <br />PARC~L1D#1 / / :L{... c2j ()OIO On <De <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH. <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />o <br />I \" \ <br /> <br /> <br />AD DIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I <br /> <br />HEiGHT I <br /> <br />BUILDING SIZE <br /> <br />D BUILDING $ o3OD <br /> <br />D ELECTRICAL I$)J ILJ I <br /> <br />D PLUMBING 1$ IV I ~ I <br /> <br />D MECHANICAL 1$ ;1/ I ~ I <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I, I FLOOD ZONE AREA DYESDNO . .. <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111 <br /> <br />/){l--jf.L; COMPANY I ~.:!LI1I' l . I <br />REGISTERED I Y I N I FEE CURRENT I Y I N I <br />License # ltee. i 32- (;6921 <br /> <br />I <br />I <br />I <br /> <br /> <br />Address License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I License # I <br /> <br />OTHER I COMPANY I <br />SIGNA lURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I I License # I I <br />1I1111111111111111111111111111111111111111111111111111111111111111111111111I111111I111111I111I111I111111111111111111111111'111111111111111111111111 <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 onslle, 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 requlremenls must meel compliance. . <br />Attach (2) sels of Engineered Plans. <br />"'~PROPERTY SURVEY required for all NEW conslructlon. <br />~.I111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Irections: . . <br />Fill out application complelely. <br />Owner & Conlractor sign back of application, nolarlzed <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 5omeone with notarized letter from .owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />71 <br /> <br /> <br />COMPANY I <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Foolage) <br /> <br />Driveways-Not over Counler if on public roadways..needs ROW <br />