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813-780-0020 Ci ofl e h rhillsPermitA IICBtlOf1 Fax-813-780-0021 / <br /> . tY P Y PP <br /> Building Department <br /> Date Received <br /> Phon ContactforPermittfng <br /> Owner's Name � OwnerPhone Numher �"7S�° �� <br /> ' �� I <br /> Owner's Address Owner Phone Number <br /> Fee Slmple TlUeholder Name !` Owner Phone Number <br /> Fee Slmple TitleholderAddress ` <br /> JOBADDRESS � � I) I LOT# � <br /> SUBDIVISION PARCELID# �� �2�' Z ��UG�� � '�Q��— (�� <br /> � (OBTAINED FROM PROPERTY TAX N0710EJ <br /> WORKPROPOSED a� NSTALL�RB REPAIR � SIGN Q Q DEMOLISH <br /> LJ <br /> PROPOSED USE Q SFR Q COMM � OTHER 1 �lr <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � QQ (iL�l", Q C� �CC Y�'~j <br /> BUI DING SIZE �(��� y SQ FOOTA E �NShr HEIGHT � � � ��t���� �y�` `�f��� <br /> BUILDING $ � /�(� qI�UATION OF TOTAL CONSTRUCTION <br /> �j\J <br /> �ELECTRICAL $ n ,\�� IMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � �I ��,,� <br /> l \/ r � �/ <br /> OPLUMBING $ � ��q1 i�.a /+(� . ��(l��, � <br /> l��l�`J Vi'L�i� <br /> �U <br /> QMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � � G <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �' �� �„�j <br /> � . tS�� <br /> BUILDER ' "'COMPANY � � ( (7 )��`�"`�����l� <br /> SIGNATURE REGISTEREO / N �E cutt n Y/N �� <br /> � l.i V� l.� <br /> Address ( r � License# � <br /> ELECTRICIAN g � R�MP�o �C� FEE CURRE� Y/N <br /> SIGNATURE <br /> Address License# �S ������ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/N FEECLIRRE� Y/N <br /> Address Ltcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTEFiED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11IlIttlllll1t11111II1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding P ns;('I)set of Energy Forms;R-O-W Permi[for new construction, <br /> Minimum ten(10)working days after subm I date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster,Site Work Pertnit for suhdivislons/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans lus 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. Requlred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wo Pertnit for all new projecLs.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*PROPERTY SURVEY requfred for all NI construction. <br /> Dfrections: <br />, Fill out application completely. <br /> Owner 8 Contractor sfgn back of application,notarized <br /> If over�2500,a Notice of Commencement Is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contrac[or)or Power of Attorney(far the o er)would he someone with notarized letter Gom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicati n Only) <br /> Reroofs if shingles Sewers Servlce Upgrades A/C Fences(Plot/SUrvey/Footage) <br />� Driveways-Not over Counter if on public roadways..need ROW <br />, 5� � c���� <br /> � <br />