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<br />813-780-0020 <br /> <br />City ot Lepnyrmlls ......ernlll f-\PP"vdUUII <br />Building Department <br /> <br />Date Received <br /> <br />q- (y -Olo <br />Owner's Name ~ a. t1 C/ <br />Owner's Address 1'7tv L(5 <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />Homes <br />Gee//5lop<-- ~'r"L-- <br /> <br /> <br />, <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />OWner Phone Number l <br /> <br />SUBDIVISION <br /> <br /> <br />Mo.rl L <br /> <br />LOT # <br /> <br />1228 <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />o <br />o <br /> <br />DESCRIPTION OF WORK I(YlOb\\L ~OlY'L- s-e-\--~ <br /> <br />BUILDING SIZE I 'J. 7 X 45 I SQ FOOTAGE I 1'2- J 5 I HEIGHT I I <br /> <br />111111'1111111111'1111'11'1'1111111'11111'111111111111'11111111111111111'11111111111'1;111'111111111'1111111111111'111111'111111'11111111111111'11 <br /> <br />f?j <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALl <br />REPAIR <br />COMM <br />FRAME <br /> <br />PARCELID#13l-f- 25- 2-1 -0/70 ~ 00000 -228 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN 0 MOVE D DEMOLISH <br /> <br />D <br />D <br /> <br />OTHER I \"'10\:11 \~ <br />STEEL 0 OTHER I <br /> <br />i2.0V\ <br /> <br />WORK PROPOSED <br /> <br />D BUILDING 1$ 35/ 000 ." t. I <br /> <br />D ELECTRICAL 1$ /6 0 () , 0 c> I <br /> <br />D PLUMBING 1$ };CJ6 . Q c) I <br /> <br />o MECHANICAL 1$ 15 () D ' G ~ I <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111I11111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111 ~ 111111111111111111111111111I11111111111111 <br /> <br />BUILDER' CDMPANY 14<~4Jd MH.s . I <br />SIGNATURE REGISTERED Y I N FEE CURRENT I Y I N <br />I <br />I <br /> <br /> <br />License # I I <br /> <br />PLUMBER IbuHe,{drf IY\H-S ] <br />SIGNATURE I Y I N _ FEE CURRENT Y IN <br /> <br />Address ;3 0 ';4' d. LF License # I I <br /> <br />MECHANICAL~'-, -, , ' ~ COMPANY l,.4cf I <br />SIGNATURE ~_H REGISTERED I 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 I License # I I <br />I11I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i III i 1111111111111111111111111111111111111111111111111111 <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 />111111 ! 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111 <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 />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <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 /> <br />L/ '-e.J,d, L+1 <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />rflLL <br />I Y I 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 />