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<br />813-780-0020 <br /> <br />City ot Lepnyrnllls t'ernllll-\l-'l-'lIl;dUUII <br />Building Department <br /> <br />Owner's Name ')( c:::lr\ () I Z. 0 <br />Owner's Address 17 G,L15 (.;"flenS \ D ~ Dr- <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />'Date Received <br /> <br />Fee Simple Titleholder Address I <br /> <br />137(o()5 ii/I) t3 ~~ <br />IGr(J()d HoozoY) I <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I rYlWI \L \16\'Yl-€-1 n )+CL \ \ <br /> <br />BUILDING SIZE I 211--L/ -; I SQ FOOTAGE I /2 & 9 I HEIGHT I ' I <br />TIT""t,IIII"'I""""'." IIII"I~'IIIIIIIII'IIIII"'II"'IIIIIIIIIIIIIIIIIII'II1111'11""'1111111111'111111"""'111111111111'11111IIIII1IIII <br />D BUILDING 1$ 8.6'ODD,6 " I <br /> <br />D . ELECTRICAL 1$ I 600,6 () 1 <br /> <br />D PLUMBING 1$ 600, L'I ,u 1 <br /> <br />D MECHANICAL 1$ Is 00 , 0 D 1 <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111I1II1111111111111111 <br /> <br />COMPANY I ~-f't (fdd M l-ts I <br />REGISTERED Y / N 'FEE CURRENT I Y / N <br />License # I I <br />I <br /> <br /> <br /> <br />License # I I <br /> <br />PLUMBER I ~ 0.-!feme)d IV! f/j Y / N I <br />SIGNATURE Y / N I FEE CURRENT I <br /> <br />Address 36' 930 j3lA+t (< d~ ~v1 License # I I <br /> <br />MECHANICAL!f-~- ~ COIIPANY IA-K I <br />SIGNATURE .~'~ REGISTERED ~/ N FEE CURRENT Y/N <br /> <br />Address License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I I License # I I <br />11I11 J I11111II1111I J J 1111I1II11 J 1111111111111111111111111111111111111111111111111111111II i III i 111111111111I11 i 1/1111111111111111111111111111111111 <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 at Energy Forms, <br />Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance, <br />Attach (2) sets of Engineered Plans. <br />*mpROPERTY SURVEY required for all NEW construction, <br />11.1111111111111111111111111111111111111111111111111111I111111111111I111111111111111111111111111111111111111I11111111111111111111111111111111111111 <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 Attomey (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 />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />I LOT# 1255 <br /> <br />PARCELID#134 - 25 - 2/-()/70 -00060 - 25501 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D DEMOLISH <br /> <br />D <br />D <br /> <br />OTHER hYlnb,li Vl~ <br />STEEL D OTHER I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <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 />BUILDER <br />SIGNATURE <br /> <br /> <br />Address SZQ30 (SkM cJo\ L-"l <br /> <br />~~~;:~~:N!.~~~ <br /> <br /> <br />Address , <br /> <br />COMPANY <br />REGISTERED <br /> <br />IA;C( <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />