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<br />813-780-0020 <br /> <br />vllY UI "'-..:;,..,.1"11111.... ............ "..-r-"- <br />Building Department <br /> <br /> <br />Date Received <br /> <br />fI. (,./I/lf. <br />33SW2- <br /> <br />Owner Phone Number 81 - 7 <br /> <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Addrees I <br /> <br />15'13/ Cra-nb({){)ke. 5t- <br /> <br />I Tre e L~Y\e. V i 11~e... I <br /> <br />rn NEW CONSTR B <br />g INSTALL <br />PROPOSED USE ~ SFR 0 <br />TYPE OF CONSTRUCTION 0 BLOCK IT] <br /> <br />DESCRIPTION OF WORK l:5h e.vf T It efy I ic.. RtJo YY1 <br /> <br />BUILDING SIZE I 9" X il.J. ~ ' ISQ FOOTAGE I / q g tp HEIGHT I <br />.................................... ..................... ........... ................................................................1.......... <br /> <br />1$3,000,0L <br /> <br />, <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />o GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />LOT# I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />/()-;lfo -;1, /-0000- 00/00 -0000 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL rn <br /> <br />OTHER I Q/!, I>t //1 vP <br /> <br />r;m <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />PROGRESS ENERGV <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br />o <br />o <br /> <br />PLUMBING <br /> <br />~((LJ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALlY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />OTHER <br />DVES <br /> <br />DNO <br /> <br /> I~ gCJ I COMPANY <br />BUILDER .f~ <br />SIGNATURE REGISTERED <br />Address 15131 &ttnbroo~.:5+-. Lot 3854-1- I License # I <br />ELECTRICIAN I I COMPANY I <br />SIGNATURE REGISTERED YI N FEE CURRENT LY.!..!U <br />Address I License # I <br />PLUMBER j COMPANY I <br />SIGNATURE REGISTERED VIN FEE CURRENT LY.!..!U <br />Address I License # I <br />MECHANICAL I COMPANY I <br />SIGNATURE REGISTERED YIN FEE CURRENT LY.!..!U <br />Address I License # I <br />OTHER I COMPANY I <br />SIGNATURE REGISTERED VI N FEE CURRENT LY.!..!U <br />Address I License # I <br /> <br />11111111111111111 J I J III11IIII J II J 11111 J 1111111111 J I J I J II J II J 11111111111 J 11111 J 1111111111111111111111111111111111 1111111111111111111111111111111111 <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets o( Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) workIng days after submittal date. Required onslte, ConstrucUon Plans, Stormwater Plans wi Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work PermIt for subdlvlslonsnarge projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set o( Energy Forms. R-Q-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwaler Plans wi SIlt Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit (or all new projects. All commercial requirements must meet1Xlll1pllance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERlY SURVEV required for all NEW construction, <br />1111I1111I111111111111111111111111111111111111111111111111111I11111I11111111111111111I111111111111111111111111I1111111I i 11111111111111111111111111 <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 Fences (PIoVSurveylFootage) <br /> <br />Driveways-Not over Counter If on public roadways.,needs ROW <br /> <br />:J+.~wJ <br />