Laserfiche WebLink
_._ ._.. ...._.. ..,,�y c„ c.e�rryrnnis rermit Hppncation Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin __ <br /> .� <br /> Owner's Name �{� � 5 Owner Phone Number <br /> Owner's Address ,C, (J C,� ' Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Numbe� � <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS LOT# �� <br /> SUBDIMISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED NEw CONS7R ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> �PE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> pESCRIPTION OF WORK � ' C � ��.-�,�� <br /> BUILDING SIZE —� SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION _.. <br /> LECTRICAL a �;!� AMP SERVICE � PROGRESS ERGY Q W.R.E C. <br /> �0�),�-- <br /> QPLUMBING a <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTAL TIO ��" � <br /> l <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES N , <br /> BUILOER COMPANY <br /> SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> ELECTRICIAN COMPANY �C/' C( Gy (°� �( G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �� r"L'V��-����� <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)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wo�ic Permit for subdivlsionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safey 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 Facilitles&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '•`•PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fiil out application completely <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />