Laserfiche WebLink
<br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />City ot Lepnyrnllls t"'ermll I-\PPlllji:1l1UII <br />Building Department <br /> <br />. -.. - . - . - - - - - . <br /> <br /> <br />j <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />I '-f I 5 5 J, q -It sf. <br />I (fJ(j)t~j flf'lst <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />PARCELID#I/4. J~ -J/~ b olD- b2(gOD -DO ?>O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />o SIGN D MOVE 0 DEMOLISH <br /> <br />o <br />o <br /> <br />8 <br />o <br />o <br />I replare <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />I <br />E1 <br />D <br />D <br />seWer II~G <br /> <br />BUILDING SIZE I I ,sa FOOTAGE I HEIGHT I <br /> <br />111..'...;....................,............\.1............................................,..................................................,.... <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />LOT # <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ Ij on D <br /> <br />1$ <br /> <br />o GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO <br /> <br /> <br />111'11'111'1"'1"""11""'11"1"'1'11"111'11"'""'11"":1111"1"1"1"1""'1'1'11'1"1"1"1"1111"11"'11""'111"111'11'11"1111111' <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I ' <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />YIN <br /> <br />License # <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # I <br /> <br />I~o+o .7\bO fQR. <br />I Y/ N I FEE CURRENT I Y/N I <br /> <br />License # I C Fe... It{ J-" II ~ <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of 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. Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111I1111111111 i 1I11111111111I11I11II11111111 <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 Ale Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />