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<br />813-780-002U <br /> <br />:' <br /> <br /> <br />......,...:/ """ --r-~..I.'-'. <br />to ,d.1 Building Department <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />~ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />I <br />: <br /> <br />D <br />D <br />D <br />M <br /> <br />F.. S;mplelll1eholde, Add..... I, I I <br /> <br />JOB ADDRESS 1.3 gO 34_ t'\!tuU [it G.ef1 f-<< Avtu ,LOT # <br /> <br />I I PARCELlD#135 -;;t5-~I-0010 -00000-003101 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR , ~ ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH <br />D INSTALL Lj REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I I <br /> <br /> <br />::~L::~:~:OF iRK I ~ j OS~OT~t ,,~,:~~,r , ~~:~~~J ' "".. " '" " " " , ..I. ". " , .. , " "." " .. "I <br /> <br /> <br />II II II II , , I 11I1III II I , , , , , I , , I , I III , 11 , II ,. III , , II H .. I 1111 I 1111111 - II . .. . .. . <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ 3g00. roo I <br /> <br />D GAS 0 ROOFING 0 SPECIALTY D ' OTHER <br />FINISHED FLOOR ELEVATIONS I. I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111I111111111111111111I111111 i 1111111111111111111111111111111111111111111111111111111I1I1111 i 1I11II111 <br /> <br />::::~~~RE I ~~~:;:.: I Y I N FEE CtJRRENT Y / N I <br />I <br />I <br />I <br />I <br /> <br /> <br />Address License # I I <br /> <br />MECHANICAL ! 1\ '^ A Nl A CYn~ COMPANY I ~I 5 / A-/0 Co 1'IUJPi- ~ I <br />SIGNATURE. -<:IV W I ~ ~ REGISTERED Y I N I FEE CURRENT 'I Y IN <br /> <br />Address License # I c K.f) 5 g 515 I <br /> <br />OTHER I COMPANY I <br />SIGNATURE , REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I I License # I I <br />1111111111111111111111111111I1I1I1111I111111111111111111I1 " " 1I1111I11I1 " 11111111I111 " i 11111111111111 I 1111 j 11111111111I111 j 1111I1 i I11111I1111I1 <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 onsUe, 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 />11.111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 NC <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />'PROGRESSENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />v- <br /> <br />LJC i~'?~ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE Cl)RRENT <br /> <br />Y/N <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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Foolage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />