Laserfiche WebLink
-.- •.-.. -.._.. �,,,�y u� c.Gpnymins rermi�Hppncation Fax-813-780-0021 <br /> Buflding Department <br /> Date Received phone Contact for Permittin �7 -- ,� <br /> c 9 <br /> Owner's Name ' Owner Phone Number <br /> Owner's Address �"� tc� �'� Gk/ .�'�..=C--� Owner Phone Number � <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS 3�tG' 2�./ LOT� � <br /> SUBD11/ISION G , PARCEL ID� ���" � —�.Z� "'UQ' "�i� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT 0 SIGN Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> �VPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK G ��Z� I✓� �� ��-�"� ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ ' /�/ VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ���� <br /> OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ' � OMPANY , 0 2��1�` <br /> SIGMATURE `�� � REG�STERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> �LECTRICIAN 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 Lfcense# <br /> MECHANICAL � COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address license# <br /> OTHER COMPANY <br /> 31GMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities 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 for new construction. <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> """"PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completety. <br /> Owner&Contractor sign back of appflcadon,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 /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />