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<br />813-780-002U <br /> <br />\,JILJ -. --I""'- -J' - ..- <br />Building Department <br /> <br />Date Received <br /> <br /> <br />Tode.~ <br />"\ t-'-' f\v t. <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Nu~ber I <br /> <br />Owner Phone Nu"!ber I <br /> <br />Owner's Name q <br /> <br />Owner's Address I 39 lOq <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 3110 q <br />I <br /> <br />7 r h ft vf?. <br /> <br />LOT # <br /> <br />I <br />B <br />o <br />D <br /> <br />DESCRIPTION OF WORK 00 vJ 1- <br /> <br />BUILDING SIZE I I sa FOOTAGE L 3 0 J HE;GHT I I <br />II I I II II 11111111111111 I , I , 111111 . II . II , II II 11111 , 1111111111111111111111111111111111111 ; 1111111111111111111111111111 . 11I11111 1111111111111111111 ' II <br /> <br />D BUILDING '1$ '-I; J '1~ oV I <br /> <br />D. ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL r I VALUATION OF MECHANICAL INSTALLATION <br /> <br />o GAS !if ROOFING D SPECIALTY 0 . OTHER <br />FINISHED FLOOR ELEVATIONS I. . I FLOOD ZONE AREA DYES DNO . . .' <br />1111111111111111111111111111111111111111111111.1 1 1111111II11I1 Iii 111111111I111111I111111111111111111 1 1111111111111111111111111111II1I111111I1111111 <br />COMPANY I I <br />REGISTERED Y I N FEE tURRENT Y I N <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />PARCEL ID#I;z.. <br /> <br />L ~ - z. J - 00 G (3-0CXXXXXJ 10 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />WORK PROPOSED <br /> <br /> <br />OTHER I <br />STEEL D <br />F 3 TAB <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />, PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE Cl)RRENT <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br /> <br />~~HNE:rURE I~ ~~:~~~~ <br /> <br />Address I 3 ~ 01 0 S (L S 2 I License # I cc ( 0 i-7 q S- 7 I <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 111I111I11111111111 i 111111111111111 i 11111111111111111111 <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 onsile, 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 />11.1111111111111111111111111111111111111111111111111111III1I1I1111I11111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 Ale Fences (PlotlSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />