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• 813-780-0020 City of phyrhiils Permit Application Fax'8�3"�80-ODZ� , <br /> � Building Department <br /> Date Received � phone onWctfor Pertnittin G 63 ��'4'�- ���-1 <br /> Owners Name �D�I/� L 2J'M Owner Phone Number !!J�� D� Z�� <br /> Owners Address � l S S � (L D� � . Zl�i� � Owner Phone Number <br /> Fee Simple Tidehotder Name Owner Phone Number <br /> Fee Simple TlUeholder Address <br /> JOB ADDRESS 3� J C i � � Q � LOT# � <br /> SUBDNISION � ' PARCELID# �[[�' - I�O`OOcO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CoNSTR� ADD/ALT Q SIGN Q Q DEMOLISH � <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM Q OTHER (�y�� <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q n , "�/" <br /> !/ <br /> DESCRIPTION OF WORK �. � Or� ��C7��U. T- <br /> BUILDING SIZE Ia����YJ �O/7`�, SQ FOOTAG � HEIGHT � 79- w2� <br /> 7 <br /> UILDING S Q� VA UATION OF TOTAL CONSTRUCTION - �,� <br /> QELECTRICAL , $ AM SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBING $ � � �'" <br /> �" d � <br /> QMECHANICAL $ VA UATION OF MECHANICAL INSTALLATION r , � � ��LI <br /> � b�- �CQ'r` <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � u <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��` , �'Q 1 <br /> V <br /> r ,..-. <br /> BUILDER � COMPANY � CL��1S�! n C�� <br /> SIGNATURE REGISTERED Y! N FEE CURREP Y/N <br /> Address Q� 1'ID�f� �,� _ � ?j License# lJ��S �7 8� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address L(cense# <br /> l <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 CURREI. � Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllll <br /> RESIDENiIAL Attach(2)Plot Plans;(2)sets of Building Plari ;(1)set of Energy Fortns;R-0-W Permit for new construction, <br /> Minimum ten(10)working days aRer submitta date. Required ansite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work P rmit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plu a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submitta date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work P rtnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aIl NE construction. <br /> Dfrectfons: <br /> Fill out application completely. <br /> Ovmer 8 ConVactor sign back of application,notarized - , <br /> If over E2500,a Notice of Commencement is required. ( C upgrades over 57500) _ <br /> " Agent(for the contractor)or Power of Attomey(for the owne)would be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (Front oi Application nly) , .._ , ., ,, �!,. . ., •... ,.,. ..„ <br /> Reroofs H shingtes Sewers Service Upgrades,A/C _ Fences(P�oVSuNey/Footage) , ; <br /> .. ' . _ ""�.' f ' ' ' ' . f. <br /> Driveways-NOt over Counter if on public roadways::neetls W ` � • - ;� ', � , ;' <br /> ,� .� . ' ,,. '` • , �� ' - . �. ..._. _......,,_.,.., . `,:,r <br />