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o�o-�ov-wc� �iry or�epnymms rermit Hpp►icanon Pax-813-780-0021 <br /> Building Department <br /> Dale Recelved Phone Contact(or Permittin <br /> Owner's Name Owner Phone Numbar <br /> Ownar's Addrass Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simple Tilleholder Addrass <br /> JOB ADDRESS LOTk � <br /> SUBDIVISION , PARCEL ID�1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI. E AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUIL�ER COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y I N <br /> Address License# <br /> �k tr(r� V ELECTRICIAN COMPANY �C��r�I/ ��C�C CCI �rv!CC� <br /> C� <br /> v v� �� SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address � License�! L t../�.�( .,7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y!N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets oT Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new canstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWctlon Plans,Stormwater Plans wl Sill Fence installed, <br /> Sanitary FaallUes 8 1 dumpster;Slte Work Pertnit for subdivisio�s/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page:(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(70)working days aNer submittal date. Required onsite,Constructio�Plans,Slormwaler Plans w/Silt Fence Installed, <br /> Sanitary FaGlitles 8 1 dumpster Site Work Pertnit for all new pro�ects.All commercial requfrements must meet compliance <br /> SIGN PERMIT Altach(2)se4s of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWcdan. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of applicadon,nolarized <br /> I(over 52500,a Notice of Commencement is rsquired. (A/C upgrades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front o(Application Only) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootaga) <br /> DrivewayrNat over Counter if on public roadways..needs ROW <br />