Laserfiche WebLink
<br /> <br />813-780-0020 <br /> <br />ate Received <br /> <br />OWner phone Number , <br /> <br />OWner phone Number \ <br /> <br />OWner phone Numb~r [ <br /> <br />Iwner's Name <br /> <br />lOB ADDRESS <br /> <br />I 15. -Fi/ 339-1 ~ LOT # I <br />PARCEL ID# lJ ~ - d6- 61 j--fJiJ;){) -(l ~~5ZJ d -{)O d 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE CJ <br /> <br />] <br />] <br /> <br />iUBDIVISION <br /> <br />,~ NEW CONSTR <br />LJ INSTALL <br />PROPOSED USE 0 SFR 0 <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 <br /> <br />DESCRIPTION OF WORK I ( 't;ndP.- Iv 51&.- b W)ilYljJ<<<; <br /> <br />~~~~!~~.~:~",! ;~t. ~,/~~. ~!..!..., ~~. ~~.~~~~.l.. <??:.1.p...,.),... .~~~~" \."..,..,..".,..,..,).,......,.."..,.."". <br />=:J BUILDING 1$ ~ <;00 l!Z- I VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL 1$ I AMP SERVICE ~ PROGRESS ENERGY <br />o PLUMBING 1$ ] <br />o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHEO FLOOR ELEVATIONS I . I FLOOO ZONE AREA DYES ~o . <br /> <br /> <br />~~~;~~"l'.~~'S~~;;"'.iEj&~:;;;d~~~""n, <br /> <br /> <br />Add",.. 1": f5r; rf ~~'fw Uc"'" # I I <br /> <br />ELECTRICIAN COMPANY [ I <br />SIGNATURE i ReGISro<EO Y IN'" CUR""" Y I N <br /> <br />Address j' Ucen,e # I I <br /> <br />PLUMBER COMPANY l ] <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I U'""'" # l J <br /> <br />MECHANICAL ( I COMPANY I <br /> <br />~' <br /> <br />ADD/All <br />REPAIR <br />COMM <br /> <br />o <br />o <br /> <br />DEMOLISH <br /> <br />NORK PROPOSED <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER r <br /> <br />\ <br />] <br /> <br />o <br /> <br />W.R.E.C. <br /> <br /> <br />Ucense # <br /> <br />OTHER <br />SIGNATURE <br /> <br />\ <br /> <br />L Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />SIGN PERMIT <br /> <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 onslte, ConstrucUon Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) $et of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslte. ConstrucUon Plans. Sanitary FaclllUes & 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 /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />, Directions: <br />Fill out appll<;aUon completely. <br />Owner & Contractor sign back of appllcaUon. 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 ApplicaUon Only) <br />Reroofs Sewers Service Upgrades AlC Driveways Fences (Plot/survey/Footage) <br />