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813-780-0020 CityotGepnyrnn�sr�rl�u�r�NN���a���,� . <br /> Building Department <br /> Date Received . � Srl Z nhone ConfactforAerm�ti'�� d�� �Qa __ �3� <br /> -1-H-I-I i-t-Ntrr <br /> Owner's Name /�� L'/t�.! �' QCt�/��L� . OwnerPhone Number <br /> Owner's Address ���� /"/�//�(fL ,a•(J/�Pf �T • Owner Phone Number � <br /> Fee 5imple Tifleholder Name Owner Phone Nutriber <br /> Fee Simple Titleholder Address . , <br /> JOB ADDRESS S�-fkQ G�-f Ove LOT� ��pL� � <br /> SUBDIVISION ��/�-•'PJ� GC O�l� PARCELID# °2�-oLG o2�— Dl��- ����-'• OC�Q <br /> � (ODTAINE�FR�OM PROP�R vEAX N�OTICE) DEMOLISH <br /> WORK PROPOSED ' NEW CONSTR ADD/ALT SIGN <br /> , INSTALL e RCl'AIR <br /> PROPOSED USE' . � SFR ' 0 • COMM � OTHER <br /> TYPE OF CONSTRUCTION � DLOCK [� FRAME ' Q STEEL Q OTHER <br /> DCSCRIPTION OF WORK ' C O�'T �i�L(� CI�,(IC� ��IJ`'C�L . lc-�UO OG�U� rOC�'L �� �O/J <br /> BUILDING SIZE �T X' 7/ SQ I=00TAGE lYd(� HEIGHT <br />' � BUILDING ' VALUAT(ON 01=TOTAL CONSTRUCTION <br /> � �� �� a. <br /> [�] ELECTRICAL $ AMP SCRVICC � PROGRESS ENERGY Q W.R.E.C. <br /> [� PLUMBING $ �°i'������8�°���l�/��� <br /> t813)788-53��€ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION�����'24�7�d� <br /> 0 GAS � ROOFING � SPECIALTY 0 OTHER �" 2L� <br /> f=1NISHED FLOOR ELEVATIONS PLOOD ZONE AREA DYES ONO <br /> BUILDER ` ���Lfj� ,����` R�MPERE� Y/ N v FEE CURRENT Y/N <br /> 51GNATURE <br /> Address �ls� �� � z—� � '�1 � f��-- . License# <br /> SIGNATUREN �-�"��%L— /'�,�-�LSGCvI ��,� COMPANY �O/' � <br /> REGISTERGD Y/ N FEE CURRENT Y/N <br /> Addres� �'- 0 . �U}l /,��'' I �' ,}35,3�` License# �C. <br /> PLUMBER ' i �'�Y� COIV�AANY � �IUI19�y'1 <br /> SIGNATURE �" REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � �� � T/Yc G. Q- Cc- � - �j � License# � C �9 <br /> MECHANICAL � r/, � COMPANY ��`1I�"� �/`Q C�,(Q ,�� <br /> SIGNATURE C'\� G�— ��-Y�.U/J � � REGfSTERED Y/ N FEE URRENT Y/N ' <br /> Address `��y�i� ti /�(Y Z�(.� ,3�'�/ <br /> License# <br /> OTHER � COMPANY <br /> SIGNA'i'URC RCGISTERED Y/ N PEE CURRENT Y/N <br /> Address � . License# � <br /> RE5ID�NTIAL Attach(2)Plof Plans;(2)sets of Buifding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> M(nimum ten(10)wori<ing days after submittal date. Required on�ite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumps�er;Sife Worlc Permit for subdivisions/large�rojects <br /> COMMERCIAL Attacli(3)complete sets of Building I'lans plus a Life Safety f'age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worl<ing days after submiftal date. Required onsife,Construction Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary f=acilifies&1 dumpsfer.Site Worl<Permit for all new projecEs.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> "*""PROPERTY SURVEY required for a11 NEW construction. . <br />-;;�-�-s-;;;;-;;+rH-�-FrH-�-�-�-i+i-r-�-;;-;-;-�;-;-;;;;;-�-►-Ht-ri+t-N-i-t-�-r+ta-�-�-►+ia-t+�-t-Ea+w-�+r-w-�aa-r�-i-�+t-�a-►aa+ia+t+Ny-ta-rt-H-t-ia-i-�-H-�+Ha-�-�-i-t-i-r�-►-H-I-, •,,.�� <br />]irections: ;;;-ri-i;-;-;-�-m,-r <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Nofice of Commencemenf is required. (AIC ungrades over$5000) <br />" Agent(for the contracfor)or Power of Attorney(for fhe owner)would be someone with notarized letter from owner authorizing same • <br /> 1VER THE COUNTER PERMITTING (Front of Application Only} <br /> Reroofs Sewers Service.Upgrades A/C Pences(Plot/Survey/Footage) <br /> Driveways-Not over Counfer if on publlc roadways.:needs ROW <br />