Laserfiche WebLink
813- 780-UU2U L.ILy 01 Leppliyiiiiiia rcinntnNNuvauv« v <br /> Building Department <br /> - 8 / <br /> Phone Contact for Permittin! t?i. <br /> Date Received - 40 - 3 63 • <br /> Owner Phone Numb ( <br /> / ,% 7b9 S 2 ?7 <br /> Owner's Name Ae1vA/ X //ofrtes <br /> 1 4 00 /V tioSfSMOif4 . �LVD -. 41e1/ 0 69 k 1301 Owner Phone Number I <br /> Owner's Address . <br /> . be I <br /> Fee Simple Titleholder Name i Owner Phone Num r <br /> Fee Simple Titleholder Address <br /> y n ' /�/ E ,i9 / <br /> er'a ,L 33510 I DoT # 139' <br /> JOB ADDRESS 1 7630 /J' ggg1 YN 6/D J P�Y / 1 �r <br /> 6 /44ND . /i/4�.� I PA RCEL ID #I 0 %1 X - 21" 0.23 0x.00000 -' 0390 I . <br /> SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR ADD /ALT n S IGN 0 MOVE Q DEMOLISH <br /> WORK PROPOSED O INSTALL I I REPAIR <br /> PROPOSED USE . i 1 SFR • • I I COMM n O THER I I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME n S TEEL [:1 OTHER i <br /> DESCRIPTION OF WORK ,I A/Ew Co 1vsre uCr on) own) /40,4os I <br /> BUILDING SIZE i 1 S4 FOOTAGE I / e / I H EIGHT ( a I <br /> B 1$ ..2 VALUATION OF TOTAL CONSTRUCTION <br /> % 6 So <br /> F-1 AMP SERVICE 54 PROGRESS ENERGY n W.R.E.C, <br /> ELECTRICAL ($ 4110 <br /> i I PLUMBING I $ t1/32J. <br /> n MECHANICAL I $ 4 vv VALUATION OF MECHANICAL INSTALLATION <br /> n GAS I I ROOFING I 1 SPECIALTY I i OTHER <br /> FINISHED FLOOR ELEVATIONS I q I 3 q i 6 I FLOOD ZONE AREA I YES =NO • BUILDER I COMPANY I LF/1//t/44 /7 O AS I SIGNATURE / " REGISTERED I Y/ N I FEE CURRENT • I Y / N I <br /> Address ilo0 ' e.. WoTt!/1 8i.00 - 7104.0,1 , FL 33409 I License# I - CSC/ •Z SST.5I I <br /> ELECTRICIAN COMPANY ` s e " & <br /> Gi9 E'Ciie /` 6 , L z...c. <br /> SIGNATURE <br /> I ec <br /> REGISTERED ' I Y / N , e[ 3O0 <br /> l <br /> Address 1/2'0 £. Oe.EA - sr Lphc{�GAnio,ft 33 Llcen # <br /> A P AA/ 1Yl <br /> PLUMBER <br /> " <br /> COMPANY i � t� I SIGNATURE 1 RE STERED 1 ... 2L .. / / N I FEE CURRENT ¥ // N— 1 7 <br /> ' / W _ ' - - - • . /3 License # <br /> Address • -. - '� / <br /> MECHANICAL / COMPANY 18 O/✓ET uMG /+f/6, A E0 •V6, or 4' - 1 <br /> SIGNATURE ,, _.,/,,,,!: REGISTERED � / N I FEE CURRENT I Y / N 1 <br /> Address 0, 80K S3 • ,' a�yoNFT4/iv>' P.1-351474/1 - 3S769P.1-351474/1 L icense # i L:.+ C e..58 o o 2' <br /> OTHER . COMPANY I C. a�T�EKLhNG'. h94 /fy /C•OOFd 1 <br /> SIGNATURE L � REGISTERED i Y/ N 1 FEE CURRENT I Y/ N i <br /> Address .I f /2 //• 5#04t Liu f 8t-V0 SP2 /N4. /r1LL, C63S 7j License # i .CG - Cos 99'• / I <br /> RESIDENTIAL Minimu working days after Building ubmittal date. s R-O-W <br /> Required onsit , Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislons/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 Attorney (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 />