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- �- . <br /> � 813-780-0020 Cit of Ze h rhills Permit Appiication Fax-813-780-0021 / <br /> Y P Y <br /> , � Buiiding Department <br /> Date Received Phone Contact for Permitting 1 ��� -- �V�� <br /> Owner's Wame 1 1 e�I C�. �J�n�S �.1��1 1 Owner Phone Number V��-���� u�b� , <br /> Ownei's Address'i, d� � I d�e s�� h h I j(5 ���� Owner Phone Number <br /> Fee Simple Titlehalder Name Owner Phone Num6er <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS� SU��I R�d e S-F. h � h i((5 �� 3 35�f a �oT# C� <br /> SUBDIVISION, ;PARCEL ID# I�-a�'� I 'a��d'"v����^��� <br /> � �(OBTAINED FROM PROPERTY TAX NOTICE) <br /> � WORK PROPOSED, e NEW CONSTR B ADDlALT C] SIGN Q MOVE Q DEMOLISH <br /> � �" ' � INSTALL REPAIR j <br /> ; PROPOSED USE , Q SFR Q COMM [� OTHER - <br /> � TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER <br /> i DESGRIP,TION OFiWOR�t� � e�� 6� . re-r�' i3�`�9(,�,t(PS �A FC�SD�1�1� �6'li(l�i��S FI`� 10�a`�. � <br /> BUILDING SIZE. SQ FOOTAGE" J� HEIGHT <br /> , BUILDING, $:"��. ;-`�'=�,='�.;`;` -;.�;���.' _��..s`�. ;:VALUATION�OF l'OTAL.CONSTRUCl'ION <br /> � � `Cp - .00 � . . <br /> Q ELECTRICAL $ AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.G. <br /> Q PLUMBING $ ��0� <br /> , � , , � � <br /> t� <br /> Q- MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � Q GAS Q ROOFING 0 SPECIALTY Q OTHER 3�D� <br /> j FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO� <br /> i . � <br /> I Bl01LDER ' COMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# , � <br /> ELECTRICIQN � COMPANY � <br /> SIGPIA'�l1RE REGISTERED Y/ N �FEE CURRENT �Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGPIATURE ' REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGIVATURE Re�isreReo Y/ N FEE CURRENT Y/N <br /> Address ' License# <br /> �OTHERE;},...__. ,�QCX. ��- (,I.�UL �;COMPANY mQn L)O�'i(1 �nC <br /> SIGfd;ATURE_S REGISTERE�D Y N FEE C RENT Y/N • <br /> Aaa�ess ('v �(3SR5 h Ghr��S F� 335yI .'Lioense# �I�ZS�L� <br /> RESIDENTIAL Attach(2)Plot Plans;(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. Required onsite,Constriiction Plans,Stofmwater Plans w/Silt Fence iristalled, <br /> `, Santtary Facliities&'1 dumpster;Site Work Permit for subdivisions/large projects <br /> i COMMERCIAL Attach(3)sets ofi8uiiding Plans;(1)set of Ene�gy Forms.R-O-W Permit for new construction.-- - - -- - - ------- --- <br /> � Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance � � <br /> SIGN PERMIT Attach(2)sets of Engineered�lans. . � <br /> ""PROPERTY SURVEY required for all NEW construction. . , ' <br /> Dlrections: <br /> Ffll out application completely. <br /> Owner&Contractor sign back•of application,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades over$5000) ' ' • � • - • <br /> '• Agent(for the eontractor)or Pouver of Attomey(for the owner)would be someone with notarized lette�'from ownerauthorizing same ' <br /> 'OVEFt THE COUNTER PERMITTING (Front of Application Only) � � ' � � <br /> Reroofs Sewers 'Service Upgrades � •� �• A/C Fences(Plot/Survey/Footage).;.,;.: <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />