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� e�a-�eaoozo Cit ofZe h IhillsPermitA lication Fax-813-780-0021 <br /> , Y P Y� PP <br /> Building Department <br /> Date Received <br /> Phone Contac for Pertnitting <br /> I <br /> Owners Name `�' ( Owner Phone Number ��►9-g'�g3 <br /> Owners Address � `y' �� �' I Owner Phone Number <br /> Fee Simple Titlehoider Name I Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address I I <br /> JOB ADDRESS Y"! ► I LOT# � <br /> SUBDIVISION PAR IEL ID# I I�2 -z�—W'O�Ob�'�0�� <br /> (OBTAINED FROM PROPERTY TAJ(NOTICE) <br /> WORK PROPOSED � NEW CoNSfR B ADD/r4LT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR.4IYlE 0 STEEL Q <br /> DESCRIPTION OF WORK � Q �(C l..I ) �. <br /> BUILDING SIZE SQ FOOTAGE'T' HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $�j��y.�� VALUATION OF MECHANICAL INSTALLATION � `��n� <br /> „J VL� � •� !/ <br /> QGAS Q ROOFING Q SP�CIALTY 0 OTHER �� `� i <br /> FINISHED FLOOR ELEVATIONS FL i0D ZONE AREA QYES NO <br /> �....�i-.i �..i��ti�..-. i��7 i � F�.��...ri-��.�.�.-.. 9..:��.-7 i-.7T3�4...fr <br /> BUILDER ICOMPANY • —, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL x � I COMPANY C/`�( C• <br /> SIGNATURE I REGISTERED / N EE CURRE� Y/N <br /> Address � �1 S �-� License# �� 3 <br /> OTHER I COINPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Ptot Plans;(2)sets of Building Plans;(1�)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permi�for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal da�e. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities R 1 dumpster.Site Work Pertnit 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 /> �:.....r...r1..F�4-�:+�.�.-.�.�.-.�.��F-L.:�..-r...r�.�.+-�-....-.....-r...��.�-�.-�..r.�� <br /> Di rectio ns:• • • • • • • • • • • • • • • I • <br /> Fili out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Cammencement is required. (A/CI upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs RO I <br />