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813-780-0020 C;ity ot Lephyrnills Nermit Application rax <br /> Building Department <br /> r <br /> Date Recelved <br /> Phone Contact for Perm(ttln ��.� 3'� _ j� c�� <br /> Owner's Name �J F� [; � T%� E Owner Phone Number <br /> Owner's Address ��/� �j c� 7° s i Owner Phone Number � � <br /> Fee Slmple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # � <br /> SUBDIVISION PARCEL ID# � -,� (�, � ol/ - �� o� p- c> , p n � C,� / G� <br /> (OBTAINED FR�OM pROPERTY T TICE) DEMOLISH <br /> WORK PROPOSED NEw coNSTR ADD/ALT [� SIGN <br /> INSTAIL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK ��/�% i i✓ �/ �,/,� �-� ,����- / c��- ' <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT ! <br /> �BUILDING $ <br /> � ��, �., �, VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> �1 I <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER / / COMPANY �i9SC`v / G v / � <br /> SIGNATURE L�1 1 REGISTERED N �E cu�n N <br /> Address ' License # �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> Ucense # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> Llcense # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permlt for new construction,. <br /> Minimum ten (10) working days after submlttal date. Required onsite, Constructlon Plans, Stormwater Plans w! Silt Fence Installed, <br /> Sanitary FaaBUes 8 1 dumpster; Slte Work Permit for subd(vfslons/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy FoRns. R-O-W Permit for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructian Plans, Stormwater Plans w/ Silt Fence instatled, <br /> Sanitary Facilities 8 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 /> Dlrectlons: <br /> Fill out application completely. <br /> Owner 8� Con�ractor sign back of appllcatlon, notarized <br /> If over:2500, a Notice of Commencement is requlred. (A/C upgrades over sT500) <br /> '" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />