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<br />813-780-0020 <br /> <br /><.;ity or Lepnyrnms ....ermlt AppliCatiOn <br />Building Department <br /> <br />, r-l:IX-O 1"- f OU-UU":,I <br /> <br /> <br />Date Received <br /> <br /> <br />h; (( s Jl. <br /> <br />Owner's Name <br /> <br />3~% Tnmwood PI, <br />NIA <br /> <br />Owner's Address <br /> <br />Fee Slmple'Tltleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />10,;>. -"/ , ~ ,. 0;;2.1 A . 00 EO 0 l OOy 0 <br />PARCEL ID# ~ " ' <br />iOBTAlNED FROM PROPERTY TAX NOnCE) <br />ADD/ALl D SIGN D MOVE D DEMOLISH <br />REPAIR <br />COMM D <br />FRAME D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />00 <br /> <br />BUILDING <br /> <br />LOT #1 <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />D <br /> <br />w'R.E.C. <br /> <br />NCC_ <br /> <br />ROOFING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address !4'=t~TeJ \sOn PI. Orla..h&O, f=L .oc;2. cg/;l. <br /> <br />ELECTRICIAN I '. . <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE .. <br /> <br /> <br />Address ~ 1'11111 n n . . . . . . , . . . . . . . License # <br /> <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 onsite, Construction Plans, StormwatElr Plans wi Slit Fence Installed, <br />Sanitary Factlltles & 1 'dumpster; Site Work Permit for subdfvlslonsllargeprojects <br />Attach (3) sets of Building Plans; (1) set of EnE[lrgy Forms. R-Q-W Permlt'for new construction. <br />Minimum ten (10) working days after submittal date, Required onsfte, Construction Plans, Stormwater Plans wi Slit Fence Installed, <br />Sanitary FaclllUes & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans.' . <br />....PROPERTY SURVEY required for all NEW construct/on. <br /> <br />SPECIALTY D <br /> <br />FLOOD Z NE AREA <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />, <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL, <br /> <br />SIGN PERMIT <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />~e~~~l <br />- H FEE CURRENT _ Y7~~_ <br /> <br />j I <br /> <br />License # <br /> <br /> <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />I <br />I <br />: <br />: <br /> <br />I <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />I Y IN <br /> <br />License # <br /> <br />IYI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />" YlN <br /> <br /> <br />Directions: <br />Fill out application completely. <br />Owner & ContractOr sIgn back of application, notartzed <br />If over $25!lO, a Notice of Commencement Is required. (Ale upgrades over $5000) <br /> <br />.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notartzed letter from owner authortzlng same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadwaysuneeds ROW <br />