Laserfiche WebLink
_._ • %,ny (JI LepnyrnniS rermit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 17-16 `3 Phone Contact for Permittin! St 3 '1 -- 110 <br /> • <br /> Owner's Name MIELFIIMMINIMMIlli Owner Phone Number till •C1(R')• rl <br /> Owner's Address II O U U 'CtJ) nil II `J A Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I 4 U 1 u C A co} • O J T• 2 . LOT# • <br /> SUBDIVISION \\VI)S1 O i l PARCEL ID# 03. au al • 1 1 '[T t;o , C:l:l ,v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN F-1 n DEMOLISH <br /> INSTALL REPAIR -e_Oof <br /> PROPOSED USES SFR n COMM OTHER ( I <br /> TYPE OF CONSTRUCTION [ �pBLOCK n FRAME I STEEL `n <br /> DESCRIPTION OF WORK I t ►R (Sr .s,.. '��G� ao J ---\-- a .s.i K <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I I <br /> BUILDING $/\-(V`1` ) L VALUATION OF TOTAL CONSTRUCTION ` <br /> ELECTRICAL $ AMP SERVICE I I PROGRE : NERGY n pi-. .C. <br /> nPLUMBING $ K /Via& / / ��� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTAL % • / <br /> IGAS 5Z1 ROOFING n SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address I License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address I I License# <br /> PLUMBER COMPANY <br /> I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I V/N I <br /> Address I License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address I License# I <br /> OTHER COMPANY i>)Li War)ex l C}bir.■;l 1 <br /> SIGNATURE (6'3—Q5 REGISTERED I Y/ N I FEE CURREN Y/N I <br /> Address I t-{ , a . F-L_ 33L-1 ) License# I QC.(3 SSoS <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (NC upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(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 NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />