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<br />WORK PROPOSED <br /> <br />O~ <br /> <br />.,... r<. e C-r } N Ii <br />C. ypeess ~-r. <br /> <br />N fir <br /> <br />NJ~ <br /> <br />l 5A(fl.e A~ Ai3c90t:- <br /> <br />i Yi,"~ 1 :1\11 An, ] <br /> <br />~ NEW CONSTR B <br />D INSTALL . <br />PROPOSED USE 0 SFR 0 <br />TYPE OF CONSTRUCTION 0 BLOCK 0 <br />C.O )\.15 T R )./ C. r ::t> e '\ A c. 14 e ~ <br /> <br /> <br /> <br />1> {2 0 <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />A () tD <br />Owner's Address I S b 0 7 <br />Fee Simple Titleholder Name[ <br /> <br />j <br /> <br />Owner phone Number <br /> <br />Owner Phone Number [ <br /> <br />Owner Phone Number [ <br /> <br />JOB ADDRESS <br /> <br />PARCELlD#1 <br /> <br />~ <br />t Z 210 ,2.1 oO~13 ODOOO 0\ SO <br /> <br />LOTti I <br /> <br />: <br />1 <br /> <br />Fee Simple Titleholder Address <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH, <br /> <br />SUBDIVISION <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br /> <br />o OTHER <br />c==J STEEL 0 <br />'G-t ~ Ie A C'-t ~ <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />. t <br /> <br />~~:~~,'~~.~:~ '" ,I.", ~~,,:, ;"~,,.,',!,'" ,~~ ,~~~~~~!,"""~, ~~""",\",. ~~:~~~, ,I", ~.,"',. .~,.! ,~:,'~'" 7""'; <br /> <br />o BUILDING 1$ Po. 7, 5 I D 00 I VALUATION OFTOTAL CONSTRUCTION II, JT!'il 'z.-Iv-U- <br /> <br />o ELECTRICAL 1$ /J fA I AMP SERVICE 0 PROGRESS ENERGY 0 <br />~OLJ <br />D PLUMBING 1$ tV fA] <br />. _ _ J'\0A'In L-\< 11/' <br />o MECHANICAL 1$ ~ JA I VALUATION OF MECHANICAL INSTAllATION vlttG'(;~ tI' <br /> <br />o GAS ~ ROOFING 0 ~t.U~c.#- <br /> <br />~ fl .,A,)oVf ~ re ~~ <br /> <br />W.R.E.C. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />~NO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />m ICn ~e I :r CA,zte(L <br /> <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License # I c ~ e. 0 5 7 () 5" g <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N . FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />441 <br /> <br />Y/N <br />3-+-+1:0 <br /> <br />FEE CURRENT Y I N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br /> <br />RESIDEN5 <br />----cuM"MERCIAL <br /> <br />Attach (2) Plot Plans; (2) sets of BuildIng Plans; (1) set of Energy Forms . <br />Minimum ten (10) working days after sub itt I d t R' I . <br />A~tach (3) sets of BuildIng Plans; (1) set::; E~er;/For~~ulred onsi e, Construction Plans, SanItary Facilities & 1 dumpster <br />Minimum ten (10) working days after submltt I d t R . I <br />All commercial requirements must meet co all a e. equ red onslle. Construction Plans, Sanitary Facilities & 1 dumpster <br />SIGN PERMIT Attach (2) sets of Engineered Plans mp ance. <br /> <br />I1I1I11I111 ; 11111111 ;;:~~~~;I~~TY SURVEY required tor all NEW construction. <br />Direct~ons,. 111111111111111111111111111111111111111111111111I11111111111111111I11111I1111I111111111111111111111111111111I11111 <br />Fill out application completely, <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of C <br />.. ommencement is required. (Ale upgrades over $5000) <br />Agent (for the contractor) or Power of Attome (for th <br />OVER THE COUNTER PERMITTING Y e owner) would be someone with notarized letter from owner authorizing same <br />Reroofs S (Front of Application Only) <br />ewers Service Upgrades AlC <br /> <br />Dr,iveWaYS~Ncit over Counter if on pu~lic roadways..needs ROW <br /> <br />Fences (Plol/Survey/Footage) <br /> <br />~; . <br />