Laserfiche WebLink
<br />813-780-002U <br /> <br />"-".'"] -- --t"'~..I.-"- - - <br />Building Department <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />F.. S'mp" Till.hold" Add.... I <br /> <br />f!t8~l <br />I <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number i <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />~ LOT # <br /> <br />I PARCELID#lT4- ~{p '-~I-OOiO - oa.300 -0090 <br />(OBTAINED FROM PROPERTY TAX NOTICEI <br />WORK PROPOSED D NEW CONSTR E3 ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH <br />l..XJ INSTALL . REPAIR --A.1. ~ <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER u...itit'~ - - <br />TYPE OF CONSTRUCTION 0 BLOCK 0 J FRAME 0 STEEL 0 0 R I - <br /> <br /> <br />::~:~::::EOF TK I . ,,~..;';~~J,~~,. ,:.:',',!.". ~~~~~ "I",.,,,.,,,,,,,,,,..).,,..,,..,,,.,,,,..,, ' <br /> <br /> <br />011'1' ~~II~~;~~ 11'1' 11111~ 1 II I VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />D 1$ I AMP SERVICE 0' PROGRESS ENERGY <br />. ELECTRICAL <br /> <br />D PLUMBING 1$ I <br /> <br />cs6' MECHANICAL ~ to 50 . elf) I <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I. . I FLOOD ZONE AREA DYES DNO . . . <br /> <br />1111111111111111111111111111111111111111111111.1111111111I1111111111111111111111111111111111I111111111111111111I1111I1111111111111I1I11111111111111 <br /> <br />COMPANY I I <br />REGISTERED Y / N FEE tURRENT Y / N <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />I License # I I <br />1111111I111111111111111111111111111111111111111I1111111IIIIIIIIIIIlllllllilllllllilllllllllllillllllllllllll1111111111111111111111 <br />Attach (2) Plot Plans; (2) 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 />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 />Attach (2) sets of Engineered Plans. <br />...~PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111\ 111111111111111111111\ 1111\ 11111\ 1111111111\ 1111111\ 1111111111111111111111111111111111111111111111111111 <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 AlC <br /> <br />,~~ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />~ <br /> <br />FI <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />~S I Ale Co V1A1Jd;Y\f <br />~Y'IN I FEECURREN~I Y/N I <br />License # I C4CO 5gS '75 <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />