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<br />813-780-00lU <br /> <br />'-'I"J ...... --r-~".1 - -. . . <br />Building Department <br /> <br />\'-.\\ ,,- <br />~)"{'V)' C <br /> <br /> <br /> <br />I <br />Owner Phone Number <br /> <br /> <br />Owner Phone Nu~ber I <br /> <br />Owner Phone Nu~ber I <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Address I <br />r t: '\'~ 0.s <br />I <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />DESCRIPTION OF WORK ~ ~ r "'0 <br /> <br /> <br />BUILDING SIZE I . ~ I SQ ~OOTAGE I . I HE;GHT 11111111111111111' 11111111111111111111' II <br />II11I II t I , II 11111 I 111\1 II II II I , I ' 11\111111 " III , II , " 11111111111111111111111111111111111111111111111 r 1111 <br /> <br />D BUILDING '1$ VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />D . ELECTRICAL 1$ AMP SERVICE 0' PROGRESS ENERGY <br /> <br />D PLUMBING 1$ <br />D MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> <br />~ GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />~FLOORELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111I1I111111I1111111 <br /> <br />COMPANY I I <br />REGISTERED Y I N FEE CURRENT Y / N <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />V/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address.-I.. . <br /> <br />(~ . ...("(' '0 0. <br />. . \ <br />OTHER' . '" .' I, ~\ <br />SIGNATURE "\)j,,,j,Y ~\ \)'VC) <br />~... <br /> <br />f'2{) \ lJA( <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />License # <br /> <br />I \'-\\~S <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 onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sels of Engineered Plans. <br />...~PROPERTY SURVEY required for all NEW construction. <br />II) 111111111111111111111111111111111111111111111111111111III 11111111111 I 11111111111111111111111111111111111111111111I11111111111111111111111111111 <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 /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Up9rades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />