Laserfiche WebLink
<br />t:llJ~(t1U-UU~U <br /> <br />\.JILJ VI '-'-"tJ'I.JI'......... -....... <br />Building Department <br /> <br />JOB ADDRESS <br /> <br /> <br />Date Received <br /> <br />Owner's tlame <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I ( 813) <br />Owner Phone Number I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />!E <br />I AM <br /> <br />NEW CONSTR <br />INSTAlL <br />SFR <br />BLOCK <br /> <br />fi3 <br />CJ <br />CJ <br /> <br />SIGN <br /> <br />D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADDIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />I <br />D <br />e..1~ 1v\U:. ( . <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />~/lkV",'o,r rLo.--s i wi\.,~o"-'5 + ~ -Vi.\......~ <br />I SQ FOOTAGE I I HEIGHT 'I <br />.,............"1"."'................., ..1......... ...".'..r".................'..II.'II"',I................................".....,.....,. <br /> <br />c;LJ BUILDING 1$ ~ IlOV <br /> <br />~ ELECTRICAL 1$ g (JXJ <br />. ( <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE, <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />Not J _~ <br />\.. J.(~ ~;ri) <br />e.,10V'" ~(~1-0' ~ <br />DNO ffr'ft~b;I;~ <br /> <br />W.R.E.C. <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECiAlTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />fey oY15lrue tin" "Zb'Cl'lo <br />FEE CURREIO" Y N <br />LIcense # I C 6- -r OS- 8};:52> I <br /> <br />~~~r~(cFEECU~:~ ~~~ <br /> <br />LIcense # <br /> <br />IGL/sII/ZJt'.6' I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Lr1.!U <br /> <br />LIcense # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISlERED YI N <br />COMPANY <br />REGISlERED YI N <br />COMPANY <br />REGISTERED YIN <br /> <br />FEE CURREIO" <br /> <br />COMMERCIAL <br /> <br />Address <br /> <br />MECHANICAL [ <br />SIGNATURE <br /> <br />Address [ <br /> <br />OTHER [ <br />SIGNATURE <br /> <br />Address [ LIcense # <br /> <br />11111II1111I111111I11111I111I111111I11I111I111111I11I1111I1I1I1II1I1111111111II1111111I11111I11111111111I1111111111111111111111111111111111II11I11 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-Q-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onslte. Construction Plans. Slonnwater Plans wi Sill Fence Installed, <br />Sanitary Faclllties & 1 dumpster; SlIe Work Permit for subdlvlslonsllarge projects <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. R"().W Permit for new construction. <br />Minimum ten (10) working days after submittal dale. ReqUired onslte, Construction Plans. Stennwater Plans wi Sill Fence installed. <br />Sanitary Facilities & 1 dumpster. Site Work Pennlt for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />.--PROPERTY SURVEY required for all NEW construction. <br /> <br />LIcense # <br /> <br />FEE CURREIO" <br /> <br />Lr1.!U <br /> <br />FEE CURREIO" <br /> <br />Lr1.!U <br /> <br />SIGN PERMIT <br /> <br />DI~~;i~~~; . . . . , . . . . . . . . . , . . . . . . . . . . , .. .. . . . . . . . . . .. . . . . .. . . .. .. . . .. . . . .. .. .. . . . . . . . . .. . . .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . .. . . . . . . . . . . . <br /> <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 NC Fences (PloUSurvey/Foolage) <br /> <br />Driveways-Not over Counter ifo()~'p'~lic'roadways..needs ROW <br />