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! <br /> �-�8��-�eo-oozo Ci of Ze h rhills Permit A IIC�tI0C1 Fax-813-780-0021 <br /> - � , tY p Y pP <br /> 1 Buitding Departrnent' , <br /> - — . . - -._..,... _,.__ ,�..,... -, . <br /> . �,..,.._.,. „_ �. _._... . � � . . ,.. i. <br /> Date Receltired � � � � - <br /> i- Piione Cantact`far Perm{ttin -- � — <br /> � . = ,: , , ; - 1 ._„ �. � ��-� <br /> Owner's:Nam� t�111rl.t -:� - '.;�h-P" �G.���'`� .-. ��ner�hone�Nnmb�F=,w� �.��`�'��`rG�a'7� <br /> ;. L � � <br /> " Owner•s Add�ess � }� ' ,- �' tl - � r""�� �45 � � ,OwnerPhone-Idumbsr � <br /> Fee 8lmple T�tleholder Namc+ � Owner Phane Number � � <br /> ,�--� • : � , . - . . <br /> `��,� . <br /> .fFee5lmple.Ttleholde�Address _ _ ''' �. .., �� � _ <br /> ,��_ - � ' - . - { .• �-. . <br /> ; , . , . � <br /> JOB ADDRE�rS 6 � !�'�v. P' �• ��/� ' Y'Lt�T� <br /> SUBDIVISIOI�1 V�ARCEL ID# ' <br /> � <br /> (08TAINED FROM PROPERTY TAX NOTICE). <br /> WORK PRO OSED NEW CONS7R ADD/ALT ��� SIGN Q Q DEMOI.iSH - <br /> e" ` IIVSTALL .8, ..REPAIR <br /> PROPOSED�SE FR COMM OTFiEiT <br /> � � Q � <br /> TYPE QF CON3TRUC710N" Q� BLOCK '' Q FRi4ME [„� STEEI. Q �� , - - ` - ' <br /> _ � J . . -�__ �� <br /> DESCRIPTIO OF WORK �L'�� — -�,r?��TG•'--/ef � <br /> BUILDIN�,�91 E SQ F007AGE�� HEIGHT ,. <br /> BUtLDING �� _lr___�VALUATION ll�F�TO7AL CONSTRUC710N _ <br /> �_-G.�' lS r `- <br /> QEL CTRICAL, $ AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.C. <br /> QP� MSING �� , . � ` <br /> QMECFfANtCA� $ VAl.UATION OF MECHANICAL 1NSTALlAT10�! r'' � <br /> A <br /> QGAS [,� , ROOFING. � SPEGIA�:TY � � �OTHER � � �P �r <br /> FIfVISHED F I OOR ELEVATIONS ���- FLOOD ZONE AREA �]YES. NO <br /> - � 1 �� � <br /> �UILDEI2 COMPANY <br /> SIGNATUR I REGISTERED Y/ N FeE CURttE� ,Y/N <br /> Addres Cicense# � � I <br /> ELECTRICt � � CC►MPANY ' <br /> SIGNATUR ���' REGISTEREp Y/ N FEE GURREP Y/N <br /> � , ` . <br /> Address = , 'License# <br /> PLUMBER � , - COMPANY° � <br /> SIGNATUR� .. REGIS.�RED "-Y/w.N � FEE CURREA - Y/N. <br /> Addre - Licsnse#.j � <br /> MECHANIG ' .. .� � - Gti1MP�P�Y � <br /> SICiNATUR� " � REGISTERED .Y:/ N FEE CURRE�` Y/;N . <br /> Addre s��' •- • � License# � � <br /> OTFtER . � ' � " � , COMFANX - <br /> SIGNATURE . ` � � � ' `�� � REf31STERED Y/ N � ; - �e CUR�� ., Y:/N . <br /> Addre�s;5 - - . , _ � ' i:icense# <br /> h t ., . �.� <br /> ... ._.,.... , . .. , .�,. �,;:.,,.' .,<,-< �:• r � ` <br /> REStDENT,Ai;: "`�Attacfi,(2):.P1of�Pians;;(2)`;s`ets=of+Buitiling;Plans;�('i}'�sef of°Eiiei�gjr�Fortris;,R-O�W Fermit for neyy,c6nstrucUon,. <br /> � Minimum�ten�;(1„�q);virorking days�after,�"s,utimittal�tlate:t Requl�ed onsite;�Gonstniotlon Plans StormwateF'Plans w/Silt Fence installed, <br /> . ., .,Sanitary'�acNtUes.;&a'ty;dumps.ter;Sltet,WoiltwPecmlt_for:subdiv[s4ocisllarge,Projeds`_;:°:u,�;w. ,,-"�,;; - ° <br /> CQMMER�{AL Attach(3}�complete sets of Bi�it�irig Plans pius a'tife Safetyr Page;(i}set of Energy Fottns.R t}-W Pennit for new canstnsctlon. <br /> � Minimum ten(10)working days after submithal date. Required onsite,.ConstrucUon Plans,Stormwater Plans w/Silt Fence instailed, <br /> 5anlfary FacfiiBes&1 dumpster.SitB Work Petmit far,�ii'neuv!proJeots:Al{cammerc+al.requlrements must meet compllance <br /> ,,.. _,..�..� �.� � <br /> �, <br /> SIGNPERifAiT Attacti(2)�setscf�Enginear,ed;Plans;:�a.:�:;;-.:` ..r.;;- �.:'.,�. • � <br /> � � •`"•PROPERTY SURVEYrequlred fo�all NEW construction.. . • <br /> Directions �>t�,,. � . - � <br /> FIII ou applicat(on completely. � <br /> t}wr�e &Contractar.slgn back�of appitcatlon�notarized - - <br /> ' If ove $a500,a Notice of Cammencement ts requlred. (A/C upgrades over�7SO4j , _ <br /> ,.�'r:�,;-,L�.��.:;::: <br /> " Agent(for ttie ccntractor}`or:Power of Attaiiiey(for tYie'ovurierj would'be�someone�with notadzed letter from awner authorizing same <br /> DYERTH COUNXER;P.E�tMITTIWG -.-,.::,(Front.of�AppifcationOniy).- . - _:` .:.��' ; � <br /> � Reroofs if s ingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Fcotage) <br /> a.:.��••�e—•.�' ;,'`Y"t�'{I'�'x •' S Y C .. <br /> Drive ays-Nak over Counter if on public roadways..needs RQV1i ' <br />