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<br />I <br /> <br />NEW CONSTR c:J ADD/AL T D <br />INSTAll D REPAIR <br />SFR Ci2f COMM D OTHER <br />BLOCK 0 FRAME D STEEL D <br /> <br />()~(e L;1~~ I J~(k "i(;vra,((t.>, pk,..!u-'\,oa(/S; pu/:../t'f (41 'f(\.F.e~J ~\ (.'Y"\ <br /> <br />I SQ FOOTAGE I 4G \(.0 I HEIGHT 3~ :f- I 5;- ~ 'f,,-J ~Cdk <br /> <br />VALUATION OF TOTAL CONSTRUCTION 7'{611 (J:OV <br /> <br />813-780-0020 <br /> <br />\.IlLY VI L..0"""1"""'-' 1............_ "r-r-n___.- <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION U2I <br /> <br />DESCRIPTION OF WORK I~ <br /> <br />BUILDING SIZE 1'5'0 \ )( S-~' <br /> <br />~_O() <br /> <br />1$ :S'1',bSo.CI'O <br /> <br />1$ " QGl? era <br /> <br />1$ )..Q,30U.O() <br />c:Jr ROOFING <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br /> <br />I <br />I <br />I <br />I <br />CJ <br /> <br />FINISHED FLOOR ELEVATIONS l-r~ """'-+<+- t..>",jh'-"" I <br />. hr.6. . <br />1111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111I1111111111111I1111111111111111 <br /> <br />BUILDER a~OMPANY <br />SIGNATURE ~ REGISTERED <br /> <br />c:g <br /> <br />BUILDING _ <br /> <br />cd <br /> <br />D <br /> <br />AMP SERVICE 40 b <br /> <br />W.R.E.C, <br /> <br />PROGRESS ENERGY <br /> <br />[Q] <br />DZI <br />m <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />1l.;(~ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />o <br /> <br />~ <br /> <br />GAS <br /> <br />DYES <br /> <br />Address <br /> <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />C~A'fje a~.c.ln<: <br />I (f,'J N I FEE CURRENT <br /> <br />License # I <br /> <br />~ <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />(((,fir <br />I ~/ N <br /> <br />Address <br /> <br />c.Oy\.1(7...C~ .k rvtuv k, <br />I FEE CURRENT lJl.L!LJ <br />License # I c..~ (lfl.bfG:t <br /> <br />C~J'J At: Cov---l~ <br />I N I FEE CURRENT / N <br />License # 10'" c. (JO Sf'S- 7 s'1 <br />I <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y / N I FEE CURRENT L.Y.i..!!.J <br /> <br />Address I I License # I I <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 1 1111111111111111111111111111 " I " 111I " 1III111 " 11111 " I <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) 1NOrklng days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) 1NOrklng 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 />~I~~~~:~~~~ 111111111111111111111111111111111111111111111111'1111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111 <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of appllcaUon, 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) 1NOuld be someone with notarized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plol/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />If <br /> <br />6nLy <br />N- Y2\SIc' If <br />