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<br />813-780-002U <br /> <br />'-'II.J -. --'-..J'~-" . . <br />Building Department <br /> <br />Date Received <br /> <br /> <br />o - IIp- 0 (P <br /> <br />)PpAf1 ( ;.It~ <br /> <br />Owner Phone Nu~ber I <br />Owner Phone NumberO ~ , ~) 3) 7 <br />OWner Phone Number I <br /> <br />/I'l{f <br /> <br />Owner's Name <br /> <br />'th ri~ <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />o <br />I\/~I <br /> <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> E3 ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH <br />NEW CONSTR <br />INSTALL REPAIR <br />SFR 0 COMM 0 OTHER I <br />BLOCK c:6 FRAME 0 STEEL 0 OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE <br /> <br /> <br /> <br />HEIGHT <br /> <br />. 7fbo + <br /> <br />o BUILDING 1$ ~ I <br />. ~_ lOOO <br /> <br />0, ELECTRICAL 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I. . I FLOOD ZONE AREA DYES DNO . . .' <br /> <br />1I111111111111111111111111111111111111111111111111111111I111111I111111111 i 11111111111111111111111 ~ 1111111111111111111111111~11111111111111111111111 <br /> <br />V (D/rl' lu~ ~ A' 11J:>~ I COMPANY I ~fU.L () W ~ I <br />- - -p REGISTERED Y I N I FEE tURRENT Y I N <br /> <br />License # I I <br /> <br />I <br />I <br />I <br /> <br /> <br />Address License # I <br /> <br />'MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I 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 />111111111111I1111111111111111I111111111I1111111111111111111111111111111111111111111111111 i 1111111111111111111 i 1111I111111111111I11111II11II1111111 <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 onslle, 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 Upgrades NC <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[2t <br /> <br />, PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE ClJRRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadwaysooneeds ROW <br />