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oia-iou-uu�u (;I�/O�ZSphyrl1111� Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> one Conta�t fo�Pe __ <br /> � '��,1, <br /> Owner's Name �, Q V� Owner Phone Number ���`�oZ'- �l� <br /> Owner's Address ��� �"V� Owner Phone Number ��� 7y� �s� <br /> Fee Simple Titleholder Name Owner Phone Number �- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I�� V e- LOT# � <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROP03ED NEW CONS7R ADD/AL7 � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEO USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK -e j .S � � <br /> BUILDING SIZ ,X dZ- � SQ FOOTAGE� HEIGHT <br /> BUILDING a g �f VALUATION OF TOTAL CONSTRUCTION g����y� Q� t�C��� <br /> bJ <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION ,� I { �Y � � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 2 E AREA QYES NO <br /> BUILDER �� � VOMPANY r-�� � ' <br /> SIGNATURE � F� 1 N FEE CURRE� Y/N <br /> Address 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 CURRE� Y/N <br /> Address License# � <br /> AAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new construction. <br /> Minimum ten(10)wo►king days after submittal date. Required onsite,Constructfon Plans,StoRnwater Plans w!Silt Fence installed, <br /> Sanitary Faciflties 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> �w�wPROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement la required. (AJC upgrades over ST500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of AppUcatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />