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a13-780-0020 C!t of Ze h rhills Permit A IlCBtIOC1 Fax-813-780-0021 " I - <br /> , Y P Y PP - - <br /> Building Department <br /> � , . <br /> �aQ�R�c�eived Phone Contact for PermiQting — <br /> �wner°�R9�me � � C�'' ' 1 c�l i 1�°.(�G� Owner I�horae Rlurro��P (��4 ��—(—Od� U <br /> �urea�r's�dc9ress � ( r/`� � e` �, -S (OG Ownea�fPhoree IdurvabeP . <br /> ����impl��itl�holde�Rlaran� Owner�hone Murvaks�r <br /> ����ienpl��'Btl�hold�r�,ddress <br /> ,�o�������s c3�v2 � D �T.�1 V��'S �l/Q. ' co�'�a � <br /> �l➢��IVI:'siOP� r— � �ARCfEL 1�#�— <br /> (O�TAIPdED FROM P920PER7Y TAX NOTICE) <br /> FA901�P�6��dOPOSE� � NEW CoNSTR e ADD/ALT � SIGN Q Q DEMOLISH � , <br /> INSTALL REPAIR <br /> P�30�OS�D US� � SFR Q COMM 0 OTHER <br /> 'BV��O�C06UST�dl7CYl0V� [� BLOCK Q FRAME 0 STEEL Q <br /> ���Cl31�Y90R1 OF NVOFt4C � � C� e--�l/�� � �,� ✓1 ��1_ ��LL W�l�I � �G M <br /> f9U@��9�89�9�IE �� �(��p��',Af9E� I��IG°sFIY � <br /> �BUILDING 3� , VALUATION OF TOTAL CONSTRUCl'IOf� <br /> �ELECTRICAL $� AMP SERVICE 0 PROGF2ESS EiVERGY Q W.R.E.C. <br /> �PLUMBING g� <br /> �MECHANICAL $ 2 �Q� •�� VALUATION OF MECHANICAL INSTALLATIOPV /1 / <br /> t� /� �� �i <br /> �GAS Q ROOFING Q SPECIALTY �] O'fHER v � <br /> FIiVISHED FLOOR ELEVATIOMS FLOOD ZONE AREA YES � <br /> 0 NO � � <br /> �4DEL���d CONI�AtdY <br /> �����YV�� REGISTERED Y/ N FEE CURREn Y/N <br /> ����'�§5 � License# � <br /> [�L�C�'fRC�C1AW � COf1fl�AfdY <br /> �I���+y��� REGISTERED Y/ N FEE CURREi� Y/N <br /> ���o'��� License# <br /> ��.d9€UI���� COflflPAMY <br /> �8������� REGISTERED Y/ N FEE CURRE� Y/M <br /> �ddPes� License# <br /> ������,o��� ������ I1 T��; A;� �� I� <<�n ��� <br /> ��G������ REGISTERED I N FEE CURREh Y/N <br /> ��c�o•�ss �q�� �S�rii�.�aa�(� �icense# C�� � ��v <br /> OgF8�B8 CORflPRtdY <br /> S9faF1�YURE REGISTERED Y/ P�l FEE CURREn Y/N <br /> �da9a�ess License# <br /> ��S9DfE�TI�aL Attach(2)Plot I'lans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working'days after submittal date. Requireu onsite,Construction Plans,Stormwa4er Plans w/Silt Fence installed, <br /> - Sa�iiary Facilities&i dumpster;Site Vliork i'ermiF for subdiv(si�ns/iarge projects <br /> COfIFdM��d.CIAd. Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constniction. <br /> Minimum ten(10)wrorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work PermiQ for all new projects.All commercial requirements must meet compliance , <br /> �BGR����YNiEY Attach(2)sets of Engineered Plans. <br /> "°°PROPERTY SURVEY required for all NEW construction. <br /> � � <br /> �iP�c9fons: <br /> Fill out application comple4ely. <br /> Owner�Contractor sign back o#application,notarized <br /> E�ov�er$2500,a PdotEce off Comm�nc�enent fs r�qwired. (�+/G upgrade5 over$7590) <br /> "' Agerat(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same . <br /> OVE�d T�B�COUNYEB3�E93MIYYIId�; (Front of Application Only) <br /> Reroofs if shingles Sewers - �Service Upgrades-fA/C Fences(PIoUSurvey/Footage) <br /> �Pava�w�j/s-Not over Counter.if on public roadways..needs ROW - <br /> a <br /> 1 j �� <br />