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� shsaao-oo2o City ot Lepnyrnins rer►►n� HNN���a����� <br /> • Building Department <br /> Date Received � Phone Contact for Permitting �� �d� — v� <br /> Owner's Name ��� � ��` C ���Z' �� /S Owner Phone Number <br /> s �3 y Q ce�-cl�'x..ok .J' '' <br /> Owner's Address � ��� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Nutriber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ����- � �� LOT # �� <br /> SUBDIVISION �� � ��`l��e PARCEL ID# '� � r J • � � w( �� � Wv � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q MOVE [� DEMOLISH <br /> � INSTALL � REPAIR <br /> PROPOSED USE 0 SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL � OTHER <br /> DESCRIPTION OF WORK �--� ' , W� ��� <br /> BUILDING SIZE l� X SQ FOOTAGE HEIGHT <br /> � BUILDING $ a , �0 VALUATION OF TOTAL CONSTRUCTION <br /> 7w <br /> 0 ELECTRICAL $ �I AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> 0 PLUMBING � �'ASCO �ERMIT SE��tCE <br /> (813) 788-53� �F <br /> � VALUATION OF MECHANICAL INSTALLATION �� �� <br /> MECHANICAL $ <br /> - � .�� �2�� <br /> � GAS 0 ROOFING � SPECIALTY 0 aTHER <br /> FINISHED FLOOR ELEVATIONS �OOD ZONE AREA �YES QNO <br /> BUILDER � ,�/�^ ,/' ' ' COMPANY � v ' "�` ' <br /> SIGNATURE /'�"^' ' REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address (Q /� �r`�' � Z`�Y�lu � License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/ N <br /> Address � License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � � <br /> RESID�NTIAL 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) worl<ing days after submittal date. Required onsite, Construction Plans Stormwater Plans w/ Silt Fence (nstailed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Perm(t for new construction. <br /> Minimum ten (10) worl<ing days after submittal date. Required onsife, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Worl< Permit for all new projects. All commerciai 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 <br /> If over $2500, a Notice of Commencement is required. (A!C upgrades over $5000) <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 PERMITi'ING (Front of Application Only) ' <br /> Reroofs Sewers Service.Upgrades A/C Fences (Pfot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />