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_._ .__ ___,. �,,��y or�ep ymms rermit Appllcation Fax-813-780-0021 <br /> ultdirtg Departrnent <br /> ; • _ ` � <br /> Oate Received Phone Con ct for Pe�tnittln �5"Z- -�� — ?f°�° -� <br /> Dwne�s Name �i ���'t v�tn.1 � Ctwner Phane Neember <br /> D+nmers Address ! � [.9 G- Gr E � F�P��'''G` 1 �� � Gwner Phone Number �� � <br /> Fee Simpie Titleholder Name I Owner Phone Number � � <br /> 1 <br /> Fe�Simple Tttleholder Address I <br /> 108 ADDRESS 7.,��I 7 �C' � tN v o��J rr Z t �, r���I!I T f .7 S~�Z LOT# �,_� <br /> I <br /> sugQnr�s�mN �— � P RCEL IQ# ��� Z� -Z!-a/2 0�-a vd a a- d-7c� �' <br /> i (OBTAINED FROM PROPERTY 7AX NOTICE) <br /> WORK PEtOPOSED � NEW CONSTR� A DlALT �� SIGN �] Q DEMOI.ISN <br /> iNSTALL R PA1R <br /> PROPUSED USE [� SFR Q C MM ',�� OTHER <br /> TYPE QF GONSTRUCTIONi Q BLOCK CJ• F ME �� STEEL Q <br /> DESCRIPTit}N OF WORK � G v! 2- 7 G� i �i �f9 r" /e.n �t y ft..� <br /> BUILDIN(i SIZE � � SQ FOOTAGE � t!E{GH7 �,�� <br /> 1 <br /> [�BUILDING $ I' ���r U� VALU IQN OF TQTAL CQNSTRUCTIt?N <br /> lC3 <br /> [�ELECTRiCAL ($�� AMP S RVICE � � PROGRESS ENERGY � W.R.E.C. <br /> � <br /> QPLUMBtNC3 �� �', � �� <br /> 5� <br /> QMEGHANICAE $ VA�UA ICiN OF MECHANICAL INSTALLATION 1 <br /> [�GAS � ROO�lNG [� S ECtALTY'� OTHER <br /> =1NISNED FLOOR ELEVATtONS F OD ZONE AREA QYES NO <br /> � � ( <br /> I <br /> 3UlLDER � � COMPANY <br /> itC�NA7URE � REGiSTERED Y J N PEE CURRE� Y/W <br /> Address � Ucense# ( �� <br /> �� , <br /> � <br /> `eLECTRIGtAN COMPANY <br /> �IGNA7tJFtE REGtSTERED Y/ Id FEE CURRE� Y 1 N <br /> Address License# � � � <br /> �LUMBER � COMPANY <br /> 31GNATUFtE REGtSTfRED Y t N FEE CURRE� Y J N1 <br /> i <br /> Address Llcense# � � <br /> I <br /> AECHANtCAL COMPANY <br /> i1GNATURE REGiSTERED Y/ N FEE GURRER Y!1d <br /> Address � l.lcense# �� � � <br /> i <br /> �TNER ��� COMPANY �Cr�j�,�'lrr e�c�•,��,- �o�i..�, �c <br /> iIGNATURE �'i REGI37ERED Y/ N FEE CURREA Y 1'+i <br /> Add�ess 3 �1� �'1�- �2 {�p�ta�r JtP� �`'y,�1�, ,,,a GI 3S�L' ltcense# �CC�.S'7�/S"7 � <br /> tESID�NTlAL. Atkach{2),PlotPlans;(2)sets of BuNding Plans;(Z set af Energy Fotms;R-O-W Permit tar new constructEan, <br /> Minlmum ten(10)working days after submittal_dat . Requlred onsite,ConstrucUon Plans,5tormwater Plans w/Sllt Fence insta4led, <br /> Sanitary Fadltttes 8�1 dumpster,8ite Work Permlt or.subdfvlslons/large projects <br /> :OMMERGlAI. Attach(3)cx�mptete sets af BuNding P#ans plus a ti fe Safety Page;{1)set o€Energy Farms.R-t?-VU Permit tar new construcNon. <br /> Minimum ten(10)workfng days after submittal dat . Requlred onstte,CanstrucQon Plans,Stotmwater Plans w!Sfkt Fence instaHed, <br /> Sanitary FaclliUes&1 dumpster.Site Work Permtt or atl.new;pro)ects.All commerclal requirements must.meet.compliance <br /> �lGM PERMIT Attach{2)sets of Engfneered Platts. <br /> "'"PROPERTY SURVEY required for all NEW co strucdon. , <br /> �irectlans: <br /> Fill out applicadon completely. ! <br /> Oumer 8 Contrac#or sign back of applica#ton,notaHzed <br /> !f over�Z540,a I�otEce of Commencement Fs tt�quCred. (AIC• pgrades aver 57600) <br /> ' Agent(for the contractor�or Pawer of Attomey(for;the ovvr�er}wo td�be'someone with notar#zed letter from owrisr auttiorixing,same� =L ��, .Y y�.� . ' <br /> 1YER Tlt�,CdUMTER PERM1'1TENG • �' `� ` , . �=, ' .� . <br /> {Front of Appticat#on Onfy �� ,. <br /> ;eroofs if shingles Sewers Service Upgrades.QfC..,,, ,Fe ces tPIoUSunrey/Fookage} ' � � � ' � <br /> - _.>� ;.x : � - <br /> Dr}veways-Not over Counter if on pubtia roadrnrays..needs ROW ' '_ ' ` � ��- - - -� �. a��.,,,�� <br /> � <br /> ; <br />