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-•- �-- ---- ...i�y �i �Cpnymnis rermi[Hpp��cat�on Fax-813-780-0021 <br /> Building Department <br /> Date Received (�– �-- phone Contact for Permittin ._ <br /> Owner's Name � C� Owner Phone Number <br /> Owner's Address .SOc{ G . e ' G � Owner Phone Number � <br /> Fee Simpie Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS ,j $ S �'l . L (r LOT# C� <br /> SUBDIMISION PARCEL ID1! •� . �`� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> �VPE OF CONSTRUCTION Q BLOCK � FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � – u <br /> BUILDING SIZE � —� Sq FOOTAGE �G HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> `� . <br /> QELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY�� W.R.E.0 <br /> QPLUMBING $ � i <br /> OMECHANICAL � VALUATION OF MECHANICAL INSTAL TION � � <br /> OGAS Q ROOFING � SPECIALTY � OTHER "� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYE NO <br /> BUILDER COMPANY � Z � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y <br /> Address Ucense# � <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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> � Address License# � <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —� <br /> RESIDENTIAL Attach(2)Ptot Plans;(2)sets of Buflding Plans;(1)set of Energy Fomts;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadlfHes 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcGon. <br /> Directtons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicadon,notar(zed <br /> If over 52500,a Notice of Commencement ia required. (A/C upgrades over 57500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 01/ER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />