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813- 78U -UU'LU Lilly 01 LCpllylIIlea rciIIn‘ nNNnvauv1I • f �� . Building Department ( • Date Received Phone Contact for Permittln • 8 / .76 -. O 3 ( O . ✓ wner Phone Number: 813) 77,9 ~ ' =.SZ � 7 • •. Owner's Name_ ��iV/✓Ai� �,/O�JES • O Owner's Address 400 N th-srs OR.e. SLf/D 1;!440 4330 Owner Phone Numbed • Fee Simple Titleholder Name . Owner Phone Number Fee Simple Titleholder Address G z Y/(/ kip ZFP/vy�e. ict,.t �L .33S o I . o T # ` I J08 ADDRESS 13 g 7 b �` J SUBDIVISION. • 1 8 / 4 4 N /149414 I PARCEL ID# 0 -Z 6 -21- 423 0 r- .00000 `Q 97 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED [•"/ MOV NEW CONSTR I I ADD /ALT 1 I SIGN n E I—I DEMOLISH . INSTALL REPAIR PROPOSED USE . n SFR • 1 1 • . COMM n OTHER 1 . - I TYPE OF CONSTRUCTION 10 BLOCK I I FRAME • ( 1 STEEL [ T OTHER 1 I DESCRIPTION OF WORK I A/E J CoN 7 UCT 01 1 OGuN /LONI4.s I BUILDING SIZE I 1 SQ FOOTAGE 1 4✓ 3 1 1 HEIGHT c J X ' BUILDING $ VALUATION OF TOTAL CONSTRUCTION • 3/ / 6S 0 n ELECTRICAL 1 • I AMP SERVICE 15Z1 PROGRESS ENERGY Q W.R.E.C, fl PLUMBING $3.ZS .� (� •c •,0u C. • r-- MECHANICAL $ � 5 VALUATION OF MECHANICAL INSTALLATION :S =f s F GAS n ROOFING r SPECIALTY fl . OTHER .: ; � -o 9 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [INO. C ., / v' 90 • / .0 • BUILDER COMPANY !�L'NAVA� D M' # S SIGNATURE �� ' REGISTERED I Y / N 1 FEE CURRENT I Y / N Address r p 0/(/. !�/� BL �i VD 1.04, 33409 License # .. CRC- .. -- $S '/�l ELECTRICIAN COMPANY 4D/Y0u 50AI &4- eCIf IC.- ZM C . SIGNATURE REGISTERED • I Y/ N 1 FEE CURRENT ' I . YIN . Address ( , /03 .5K/ ' '.." /2-0/11, J•4"'4 fi, 33 6/3 License;# " eC 00 02.5 79 PLUMBER • COMPANY 1314-1A/ P/- .uNI 6 /J1/G SIGNATURE �, /�L • REGISTERED I Y / N 1 FEE CURRENT • I Y/ N 1 '—� 3I License.# C fc a . / fo 0 Address fo 3�'7 /��'`y 3Ql r / Q J vc2Y /£�iCL 3 578 � MECHANICAL COMPANY 9 on/6Tgvi1'l "/t:/& f4 ?7'� 1f C. • SIGNATURE REGISTERED Y/ N • 1 FEE CURRENT , I Y / N I . . ; ., • Address ( / Q. 80)( • 9 Yin 84yo4FTfr, FL- .sy67�I .License • , dQ .0 6 2 OTHER COMPANY 4 • •Sr ,,L /N6 • &i' i rP ,uG,..ZvC. SIGNATURE / REGISTERED I Y/ N I FEE CURRENT" . I Y/ N 1 . address . 1 11 / / . 5 4 / 04L L / 4/ 81-Vi2 c S P 2 i N 4. /ha A 7 license # . , 9 ' 9 . . 9 I . • RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -04 Permit fot new construction, , • Minimum. ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater. Plans w/ 5111 Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects 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. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans 'w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. AN commercial requirements'must'rneet compliance • SIGN PERMIT . Attach (2) sets of Engineered Plans. .. •PROPERTY SURVEY required for all NEW construction. • Directions: . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) Agent (for the contractor) or Powet of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) . Reroofs • Sewers Service .Upgrades • A/C Fences (Plot/Survey /Footage) . DriveWays -■ot over Counter If on public roadways.: needs ROW • • • •