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<br />813-780-0020 <br /> <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />I e/ n~ <br /> <br />::P:::::ol:~:_~r~;:~;v~?:t~1i r:::::: :::: I <br /> <br /> <br />Fee Simple Titleholder Address I t(..j do V~ <br /> <br />Owner's Name <br /> <br />I <br />I <br />I <br />Is-q I <br />-tJ5?'{) <br /> <br />SUBDIVISION <br /> <br /> <br />SIGN <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR D ADD/ALT D <br />INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br />I/~ JfJ/f -;;j c.~ rh /J _I /l _ I - I~ / 4J" LMood deck- <br />DESCRIPTION OF WORK /IV f/VV{ -rv tl m ~ Z;, t:::~ 0 n "';1.:..." , L--, _!l!!!!!II !;.o III I!!!!i """- <br /> <br />~~:~~I~~I ~:~~. III .I111~ l, ~ ~IIIII , 111III1111111 ~~ I~~~~~~I~ } II , II~ ~ till' I111 ! II . , ~~~~~~ 11111," . . . . I11111 , . , . . 1111 . , 1 ' . . 1111111111 . , I . II <br /> <br />OTHER I <br /> <br />D BUILDING 1$ /6()6~ I VALUATION OF TOTAL C01N:7'ON <br />0 ELECTRICAL 1$ I AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br />0 PLUMBING 1$ I <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY D OTHER ~O <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES <br /> <br />Address <br /> <br /> <br />Qu~ <br />Y I N FEE CURRENT <br /> <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />Address License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y IN <br /> <br />Address I License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I License # I I <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111I111111I1111 <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 onsite, 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 onsite, 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 />11.1111'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />I Y/N <br /> <br />nk <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 />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <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 />