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- - -- -°-- �.��y �� �Cpnymms rermit Hppncatton Fax-813J80-0021 <br /> , , . Building Department <br /> Date Received � r �'"�� Phone Contact for Permittin __ <br /> Owner's Name � {�J� Owner Phone Number � — L <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS �� � � LOT# � <br /> SUBDIMISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lNORK PROPOSED NEw CONS7R ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> �PE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q - '—� <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE 3Q FOOTAGE C] HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> I�MECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> 7...� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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 /> MECHANICAL COMPANY / ��� • � <br /> SIGMATU GisTERe� Y/ N FEE CURREA Y/N <br /> Address � � ,� � License# 6 <br /> OTHER COMPANY <br /> SIGfVATURE 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 Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliHes 8 1 dumpster;Site Work Permit for subdivisions!large pro)ects <br /> COAAMERCIAL Attach(3)complete sets of Buflding Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities S 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 /> •'"•PROPERTY SURVEY requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of applicadon,notar(zed <br /> If over S2S00,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(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />