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813-780-0020 City ot Lephyrnius Nermit Application ( j ,� �� Fax-ti7;i-7ttU-OUZ7 <br /> Building Department � <br /> Date Received Phone Contact for Permittin – <br /> . � � � <br /> Owner's Name J O G°� Owner Phone Number :3 ". <br /> Owner's Address s J L� L�J�1 Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r ,S� d , c� LO �' LOT # � <br /> SUBDIVISION �— � PARCEL ID# <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> �DESCRIPTION OF WORK '' - � / <br /> BUILDING SIZE f(� �7� � } SQ FOOTAGE I (J HEIGHT r � r � <br /> ,X QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> Q' <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING �� � <br /> �� (� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION D ��� tl ,�' �1 /!�/L <br /> C� �l CL� / <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � � <br /> v�$ � P�D ��,�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �/L � PM OG� l�� <br /> .J i• � <br /> �UILDER r COMPANY <br /> SIGNATURE t REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # � <br /> ELECTRICtAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # � - 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address Llcense # <br /> MECHANICAL � COMPANY <br /> SIGNATURE _ RE�is�rte� Y/ N FEE CURRE� Y/ N <br /> Address License # � —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Ufe Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcGon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construcdon Plans, Stom►water Plans w/ Silt Fence installed, <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 requlred for all NEW consVucdon. <br /> Directlons: -• -- . . <br /> Fill out application completely. <br /> Owner 8� Confractor sign back of applfcaUon, notarized <br /> If over s2500, a Notice of Commencement ts required. (A/C upgrades over;7500) <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 PEIRMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />