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813-780-ODZO l.�l[y OT LePflyffllli5 t'Eiflilll/-1NNIIVauvii '"^""' "'� �"`•' <br /> Building Department � ' <br /> /n On�/ �� <br /> Date Received �- 2 - 1i Phone Contact for Permittfn �3 2 9 - �'96� <br /> Ownera N�me � - A G � Owner Phone Number ��3 '"`7d "ZZ. t� <br /> Uwner's Addresa Ci���� �� Ownar Phone Number <br /> Fee 3imple Titleholder Name Owner Phone Number� � <br /> Fee 3lmple Titleholder Addreas <br /> JOB ADDRESS T O Z-$ GQU/Z� � Z�'-�'�ti �l�J�S FG �3J� / LOT# �� <br /> SUBDIVISION � �1 �� PARCEL ID# � -Z'6 "�/ ' d Z�O -Q�L�90 - Q�j,Q <br /> (OBTAINED FROM PRQPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR B ADD/ALT �] SIGN Q MOVE [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR �] COMM Q OTHER <br /> TYPE OF CONSTRUCTION �] BLOCK Q FRAME Q STEEL Q OTHER <br /> DE3CRIPTION OF WORK �UlS/O N �O �eit/1�/�� Z g� - �'�d 3 �, O�J uNt�"S �i Sj <br /> BUILDIN(3 SIZE 8Q FOOTA(3E HEIGHT �� �r�b �Oa � <br /> 7-�-(( I b 1. <br /> [� BUILDING $ Q p- Q � VALUATION OF TOTAL CONSTRUCTION <br /> 6 0 <br /> Q ELECTRICAL ($ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � , <br /> Q PLUMBINO �� <br /> [� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � OAS Q ROOFINO � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES QNO <br /> t ; s� � �. b � <br /> BUILDER � ac COMPANY . <br /> 31r'aNATURE REGISTERED N FEE CURRENT Y/N <br /> Address � Q X � 9 3 � p FL 32�f�7$ License# ����"�� <br /> ELECTRICIAN COMPANY <br /> 81GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# -� <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRENT , Y/N <br /> Address License# <br /> MECMANICAL COMPANY <br /> SI.GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Ucense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ FEE CURR6N�' � 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 constructlon, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FactliUes&1 dumpster,Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Pe►mit`for new construcdon. <br /> Minlmum ten(10)workfng tlays afte�submittal datu. Required onsR.e,Conshuctlon Fians,Stormwater Plans w/Sill Fence instailed, <br /> Sanitary�adlttles 8 1 dumpster.Sfte Work Permit for all new proJects.All commercial requirements must meet compllance <br /> SICiN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPER7Y SURVEY�equfred for aN NEW constructlon. <br /> Directions; <br /> FIII out applicatlon completely. <br /> Owner&Contractor stgn back of applfcatlon,notarized <br /> If over;25q0,a Notice of Commencement la required, (A/C upgrades over a5000) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appllcation Onty) <br /> Reroofs � Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />