Laserfiche WebLink
813-780-0020 City of Lepnyrnuls r elfin t „NNmk'Qtl -'i. <br /> Building Department <br /> I I <br /> Date Received 3 -1 2 - <br /> 9 Phone Contact for Permitting I I'7 rr <br /> �) LIST 0-3 ..--i-44.-1, Owner Phone Number <br /> Owner's Name �-a- -� ��'� <br /> Owner's Address I Owner Phone Number <br /> 1 GLII t. O We CAc Owner Phone Number I <br /> Fee Simple Titleholder Name1 <br /> • <br /> Fee Simple Titleholder Address 1 <br /> 55 I L° r` I LOT # I 11. Q JOB ADDRESS 11---(23.1... I � ��N\. -5� <br /> Re -Zp. I PARCELID#I 1 k- 2(O -�I -cs ulo - OS�7DU C3 S <br /> SUBDIVISION - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR NI ADD /ALT n C SIGN Q MOVE 1 DEMOLISH <br /> INSTALL t REPAIR • rI• COMM n OTHER 1 <br /> PROPOSED USE n SFR r� STEEL n OTHERI I <br /> TYPE OF CONSTRUCTION n , BLOCK I t FRAME n <br /> DESCRIPTION OF WORK 1 1 1 -/ A-- a.6, wow \ Lr.P C42-0I4‹.- I <br /> BUILDING SIZE 1 I SO FOOTAGE I moo I HEIGHT 1 1 a I <br /> r---1 BUILDING I$ ICS' ` 1 VALUATION OF TOTAL CONSTRUCTION <br /> CC ELECTRICAL IS O1. cso I AMP SERVICE F PROGRESS ENERGY Q W.R.E.C. <br /> n PLUMBING I$ <br /> r, MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION <br /> r1 GAS rI ROOFING r'! SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES ONO <br /> BUILDER - i' COMPANY Ia l (6 '3 m <br /> SIGNATURE REGISTERED I Y/ N _1 FEE CURRENT I YIN I <br /> Address License # 1 <br /> ` 1 tI+ COMPANY I i r i LC <br /> ELECTRICIAN I /\ <br /> SIGNATURE IIIPPP 5� REGISTERED Y / N 1 FEE CURRENT I Y ! N <br /> Address I License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> • <br /> Address I License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I - License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <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) complete sets of Building Plans plus a Life Safety Page; (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 w/ 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized • <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) <br /> Agent (for the contractor) or Power of Attamey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter If on public roadways.:needs ROW <br /> • <br />