Laserfiche WebLink
<br />813-780-0020 <br /> <br /> <br />Fax-813-780-0021 <br /> <br />Date.Received <br /> <br />Owner's Name <br /> <br />.+ <br />.2-7-8 I ~ .tt-, <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 />Fee Simple Titleholder Address I <br />38'2- 'Ll{ l'-\.tb ~ <br /> <br />WORK PROPOSED <br /> <br />Iii <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />~~Y'hJJ..J ~ <br /> <br />PARCELlD#/ \ \ -'.3.<0 - d\ - 00\0 - 0\400 - 61~O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />3 3~,- <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />~~;~;;;~;~~~I~,,,, ~,I, ~~,:~: ,I, ~~;~;tj.!.;' ,:J".. ~~~~"I"... ~ ,~~.."'!..." '"..,,,....,,,, " <br /> <br />1$ I <br />1$ l.{ ~(. ~ Oc> I <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111I1I1I1111111111I11II111II1111I1111111I111111111111111111111IIII1111III1111I1I11I1I1111II111111I11I1111I1111111II1111111111I11111111111111 <br /> <br />OTHER I <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />~n \.t-rv1 <br />I Y/ N I <br /> <br />FEE CURRENT <br /> <br />I Y/N I <br />E --Fc.x.rull J- <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />