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813-MU-OUZO laity UI Lep iyiinna rum ii lalam.au.ai Building Department Date Received 9 " - G !'� � �7b d 3 43 j Phone Contact for Permittin• Owner's Name • 4 54/ MI /AWES. Owner Phone Number (813) '74 9 • Owner's Address Goo /V 1 SrS/tOle‘ . fSLf D "rAMo.4A- 33(,°? • Owner Phone Number • Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 6 3.3 / r _ / Al a / /. i t. a - L- A ZEA/ly�e I tJ /.fL y /� SUBDIVISION E�LAN,D P/944- , • PARCEL ID# 3=26.-21- 0.23 0•`_00000 -- j 08 D (OBTAINED FROM PROPERTY TAX NOTICE) WORK .-21- 0.2 NEW CONSTR ADD /ALT n SIGN n MOVE ( I DEMOLISH In INSTALL REPAIR PROPOSED USE n SFR 1 COMM n OTHER TYPE OF CONSTRUCTION 10 BLOCK I I FRAME n STEEL n • OTHER DESCRIPTION OF WORK d EW CON..TR.,(JCT OA) " / - Town/ ,44Oi✓I1 s BUILDING SIZE SQ FOOTAGE / ( 3 / HEI cQ 51V �' BUILDING $ 3 /, 65'0 VALUATION OF TOTAL CONSTRUCTION El ELECTRICAL $ ,‘110 A MP SERVICE L 5 PROGRESS ENERGY n W.R.E.C. 3 F PLUMBING $ Y.325 MECHANICAL $.? TS V OF MECHANICAL INSTALLATION GAS n ROOFING 1 1 SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS 90 /.0 FLOOD ZONE AREA nYES T1NO • BUILDER / COMPANY LEN/VAie NONE S • SIGNATURE / --- REGISTERED 1 Y/ N 1 FEE CURRENT I . Y / N Address i 0A/ W 8i.f'D "r;011, , 14- 33409 License # G' £ G/:'? SSTS/ ELECTRICIAN COMPANY 40/Y61.sAo01/ EC+EC'r /L XNC • SIGNATURE ` � > REGISTERED I Y/ N 1 FEE CURRENT . I Y / N 1 Address , /034 ■SK/ 7 ,' -O k. ff 336_/ License # C OD O _/_,5" JQ PLUMBER COMPANY /N /.1 -u A4 /A (y SIGNATURE ' REGISTERED 1 Y/ N I FEE CURRENT ' I Y/N 1 /2 ve21/ /E ','2G 33$ Lic ense # CPC p /.5 0 Address 632-7 �h/.' D�.S' �. i � ,/ MECHANICAL COMPANY 8 0 /ET 6i1''d/,t/�r, ,A- #97'vlr, g /{C. SIGNATURE Xy„ • REGISTERED Y / N I FEE CURRENT • 1 Y / N Address r, f • • BOK Q • D acz ��vr FL3y69� License # • , C'9 OS$ 0 6 2 OTHER COMPANY C. NYTE/e/ – /A/ ..1 ()9G y ROOPMJj6 SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT' I • Y / N Address .I / f11/. ' #O44 Z./.0F 8LVO /I /44 ,CiJWo 7 License # (C& CO 577 99 , t RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 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 wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet 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 Power 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 (Piot/Survey /Footage) Driveways -Not over Counter if on public roadways. ;needs ROW • • •