Laserfiche WebLink
p . ._.. ,,,,_.. �,,�y c„ ,�Cpirymms rermi[Hppncation <br /> Buliding Department Fax-813-780-0021 <br /> Date Received <br /> Phone Contact for Permittin ��j � �y� _ ��''i <br /> Owner's Name �� � � <br /> Owner Phone Number �j�� _�� v�'1 � <br /> Owner's Address ���-� , �� � . <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS `�"I��� �'�� <br /> �� � <br /> LOT# <br /> SUBDIVISIOM ���� ��"�� pARCEL ID� <br /> M/ORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR e ADD/ALT � SIGN � <br /> INSTALL REPAIR DEMOLISH <br /> PROPOSED USE SFR � � ��"e� <br /> , � COMM � OTHER <br /> �XPE OF CONSTRUCTION � FRAME � � <br /> STEEL —� <br /> DESCRIPTION OF WORK _� � � _.�� �� �� ���� ��,����� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ��� � �. <br /> �]BUILDING $ <br /> `�� ��. � VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY <br /> 0 W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL � VALUATION OF MECHANICAI.INSTALLATION � (�U �� <br /> OGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# `� <br /> OTHER (� �-{.� COMPANY ��, <br /> SIGNATURE S� �� <br /> �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � L C- �Z.- 3�jSt� license# �t.���`������ <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wroricing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster;Site Work Permit for subdivisionsllarge 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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERNIIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> "lT III�I��1��1�IIT111lf1�11�1 <br /> Li-LL 1 � <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of appHcadon,notar(zed <br /> If over s2500,a Notice of Commencement la requlred. (A!C upgrades over 57500) <br /> `" Agent(fo►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 shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />