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813- 780 -0020 Uity of Lepnyrnms rel I I Ill HNNiivauU11 2 <br /> Building Department <br /> Date Received ? 711 <br /> ' - ' 1 " <br /> Phone Contact for Permitting I/J <br /> P/ , •_ - -�- " j i Q Owner Phone Number 6 — G 3 a - /43 <br /> Owner's Name � <br /> Owner's Address <br /> 9,r3 6- - AI 71 . ' Owner Phone Number <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address LOT # <br /> 3 9 3 , ryaf <br /> JOB ADDRESS — ' / _ *V Odd° .0 -09 <br /> a�o� (1L1 PARCEL ID# O` (J � <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ADD /ALT 0 SIGN MOVE 0 DEMOLISH <br /> ,rie <br /> WORK PROPOSED ► STR REPAIR <br /> I COMM 0 OTHER <br /> PROPOSED USE U <br /> 1 1 gr, C K FRAME t = STEEL 1 I OTHER <br /> TYPE OF CONSTRUCTION <br /> l /0 d , , pn. ,�jC/J7 GO it.efe INIIIIIIIIIIIIIIIIIIIIII <br /> DESCRIPTION OF WORK n / �� <br /> BUILDING SIZE <br /> 1 f/ )C /V I SQ FOOTAGE d v // HEIGHT S <br /> 41 BUILDING I$ 3, d:°0 .4') VALUATION OF TOTAL CONSTRUCTION <br /> PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I ELECTRICAL I$ l AMP SERVICE = y C 0 PEP �1T r <br /> s v Ji; , <br /> I I PLUMBING 1$ I 8 3 783 - L,2 1 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l)C' <br /> I fi r " <br /> GAS I I ROOFING I SPECIALTY OTHER / <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA 1 YES I INO �(J�" <br /> • <br /> r - l � I <br /> 9.4' COMPANY <br /> BUI /A REGISTERED L Y/ N 1 FEE CURRENT I Y/ N <br /> SIGNATURE "„JJ �� I <br /> License # <br /> /S P - `^ X/ Z. 4 Ti' Address I "'`�' • <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE REGISTERED • 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> License # I <br /> Address I <br /> PLUMBER COMPANY 1 <br /> I REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> SIGNATURE T <br /> License # <br /> Address I I <br /> MECHANICAL COMPANY 1 <br /> I REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> SIGNATURE <br /> License # <br /> Address 1 1 OTHER COMPANY <br /> REGISTERED L Y/ N I FEE CURRENT I Y / N 1 <br /> SIGNATURE (� <br /> 1 License # l <br /> Address 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large r a of Energy Forms. R-O-W Permit for new construction. <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) <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 rades over $5000) <br /> If over $2500, a Notice of Commencement is required. (A /C upg <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.:needs ROW <br /> • <br />