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<br />813-780-0020 <br /> <br />City ot Lepnyrnllls ~ernJll /"\ppllLdUUII <br />Building Department <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />5~ 0 y- Feevt <br /> <br />c1.1' <br /> <br /> <br />fJUrl r c .'1 y <br /> <br />f4 <br />I <br /> <br />Owner Phone Number <br /> <br />J~6(, ,. I <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br /> <br />2 efJq rr" IA; II $ I LOU I <br /> <br />PARCEL ID# I \ i -d-~ -d \ - 0(:)\ b - , 47 em.- 0070 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />JOB ADDRESS <br /> <br /><.?t d l <br /> <br />Sr~ frV-e <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />D <br />I (' t'&< (' <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I ~e roof <br />STEEL D OTHER I <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />d-ff fK- j. ~ <br />I SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br /> <br />1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS ~ ROOFING 0 SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII(11I1111111111111I1I11111I1111111111II1111I111111I11111I1II11111111111111111I1I11111111111111 <br /> <br />BUILDER JI COMPANY I I <br />SIGNA TUR.€'-, REGISTERED Y / N FEE tURRENT Y / N <br /> <br />Address I License # I <br /> <br />ELECTRICIAN I COIIPANY I <br />SIGNATURE , REGISTERED Y / N FEE CURRENT Y IN <br /> <br />Address I License # I <br /> <br />:~.:':A~':.E I ';.~:= Y I N FEE CUARE", Y I N I <br /> <br /> <br />Address I License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y IN <br /> <br />Address I License # I <br /> <br />I <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />. PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />tl ko <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />OTHER <br />SIGNATURE <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br /> <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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />'''~PROPERTY SURVEY required for all NEW construction. <br />II.IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: <br />Fiil 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 /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />