Laserfiche WebLink
<br />813-780-0020 <br /> <br /> <br />Fax-813-780-0021 <br /> <br />fl<('~ <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />~fphone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />BUILDING SIZE <br /> <br />Fee Simple Titleholder Address I .5tl ~ <br /> <br /> <br />:~:/t;1f:e~::~~~Z~~-~~-~;;~ ~~~ <br /> <br />t=f (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR C"J ADD/AL T D SIGN D MOVE D DEMOLISH <br />INSTALL c:J REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br /> <br />DESCRIPTION OF WORK I C/llerdd 16/ /l-t. ~ r SrtJ:2/7 rc1~17Z <br /> <br />IICR X tf;2. I SQFOOTAGE HEIGHT I ~~ ~~ <br /> <br />1$;<>0/ ()t:Jt), Cto <br /> <br />, <br /> <br />1$ <br />1$ <br />1$ <br />D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />o <br />~ <br />~ <br /> <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />I <br />,. <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />qf <br /> <br />W.R.E.C, <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />DYES <br /> <br />~NO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Otun.er <br />I YI N I FEE CURRENT I Y/N <br /> <br />License # 117 Ia...- <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br /> <br />I11II1111111111111111111111111I1111111111111111111II11111111I11111111111111111111I11I111111I111111111111111I11111I11I111I111111111 <br />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 />111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111 <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 NC <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />