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813- 780-U11U L. Ity01 LCIJllyliinIJTGIII nn nMIJm .au.,. • ytiss <br /> Building Department <br /> • <br /> �3 <br /> Date Received Phone Contact for Perm!ttine . I 63- <br /> Owne Phone Number 8/3 76 9 - 77 <br /> Owner's Name b&iM/,AIQ /I/ 01-'14.5 <br /> Owner's Address Ito ao /V tifSiS»O,e4 8i-1,0 1 4! OA 4 J3bo9I Owner Phone Number I , <br /> Fee Simple Titleholder Namel • • I Owner Phone Number I <br /> Fee Simple Titleholder Address I • <br /> sg q a /2111 yti % /D 7F yy '9'''s,,4 33590 I 'LOT # ' I «8 <br /> JOB ADDRESS 1 3 7t J <br /> �Yf <br /> I /G�9ND . f g l .. I PARCEL ID #I 03 -21- 0 .23 0,- 00000'' .9 <br /> g <br /> SUBDIVISION. (OBTAINED FROM PROPERTY TAX NOTICE) <br /> '� NEW CONSTR ADD /ALT n SIGN fl MOVE. = DEMOLISH <br /> WORK PROPOSED INSTALL I I REPAIR <br /> PROPOSED USE . n SFR ET . comm n OTHER 1 1 <br /> TYPE OF CONSTRUCTION 10 BLOCK 1 1 FRAME ,1 STEEL n OTHER <br /> DESCRIPTION OF WORK i dEill Co/vSTR Ucr On I <br /> vuiN f#0d4 0•C <br /> BUILDING SIZE 1 ) HEIGHT s� I <br /> 1 SQ FOOTAGE i �S3 1 1 I <br /> B I $ % 6 5O I V OF TOTAL CONSTRUCTION <br /> r <br /> 1 I AMP SERVICE PROGR ENERGY n W.R.E.C, <br /> El ELECTRICAL I$ s y I7 0 <br /> P LUMBING I$ y325. I �• s,tbs <br /> ri MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION iN 1, ;,,i <br /> K a <br /> n GAS E) ROOFING ( SPECIALTY n OTHER „t.1/. <br /> r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 AYES 1 (NO. 1,j l) C' <br /> FI I � 0 • �Q <br /> ...... COM PANY ;, <br /> 1 ZSAMfi lie /7/07 . S <br /> BUILDER <br /> SIGNATURE / � REGISTERED I Y / N I FEE CURRENT • 1 . Y / N <br /> Address <br /> - i' Al .6✓ • •'41..6 8s. tea - 710 , roA, 33409 I License# I C8C• /;.Z 55751' <br /> ELECTRICIAN /7 / • COMPANY I L�O/Yoy60 y E G ECt 1G .ZA/C • <br /> J REGISTERED • 1 Y / N 1 FEE CURRENT . Y / N . <br /> SIGNATURE <br /> Address i 1934/ -SK t N-0 4D,- ,4M,4fi. 336/3 1 <br /> License it <br /> 1 _C 00 0 .2579 <br /> PLUMBER /' ' COMPANY . S M W 774-31A4 3 /A/ 6' <br /> SIGNATURE _ REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address 1 6 32-7 /1;v 0/5 igiv6.2.1/14-141,4.2. , 35578 1 License :# 1 CFCo� /S0 0 <br /> MECHANICAL COMPANY I9 0A/FTgu o,4/6► fdER�ti6.. C- <br /> SIGNATURE I <br /> . . I REGISTERED Y / N � FEE CURRENT , 1 Y / N I . ; . Address / O ' BoK 8 f34✓OA/FrI /Nf FL3S License #‘ • , SAC d S a 6 2' <br /> OTHER COMPANY I C.. ..Fr/e4/01i6 , -;. (),4 <br /> 9C-, �'y RoavG, .?vc. I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N <br /> Address 1 L /dUF 81-vo cSP2i/V6 /lt /u FL3Stio 71 License # • I `. CC" CO - 99 r <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -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 subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufe 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, Storm Plans w% Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements mustbeet 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 /> ** <br /> Agent (for the contractor) or Power of Attomey (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 11 on public roadways.:needs ROW <br />