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°"-'°�-�'�u Lity ot�ephyrhiils Pe�mit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' Phone Contact for Permfttin _ �� � <br /> �'� <br /> Owner's Name l_'.11��C� ` TT Owner Phone Number 3 �� p � • ��'��J <br /> Owner's Address c '� • � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � �'P � �-� �2 � c �--P c� LOT A �� <br /> SUBDIVISION PARCELID� I I Z�.P- ZI •�I �' (��, �� L� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> INORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN�� Q DEMOLISH <br /> INSTALL REPAIR �� <br /> PROPOSED USE Q SFR � COMM [—� OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME C] STEEL Q <br /> DESCRIPTION OF WORK �[� � �' • S � <br /> BUILDING SIZE Sp FOOTAOE�� HEIGHT �� <br /> OBUILDING s <br /> �� — VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING s <br /> OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �1 / �" � <br /> QGAS � ROOFING Q SPECIALTY �_] OTHER ��� ` � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# [ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# [ —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Addreas License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER ' nt COMPANY 1 �� <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)worlcing days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence instalfed, <br /> Sanitary FacillUes&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Buliding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Conshuction P�ans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities d�1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required tor all NEW consUucUon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicallon,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over t7500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Oriveways-Not over Counter if on pubNc roadways..needs ROW <br />