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���^ 813-780-0020 Cit of Ze h rhills Permit A IIC � Fax-813-780-0021 <br /> Y p y pp ation <br /> �� . Building Department <br /> Date Received � i� �` phone Contact for Permitting <br /> Owner's Name t��.�-�� � � � � ��,y Owner Phone Number v/� / '��� <br /> �� 8���6�L� ,6..�`J��i6YiC <br /> Owner's Address Owner Phone Number <br /> 9,9 <br /> Fee Simple Titleholder Name �i� / $��(�'f'( Y E Owner Phone Number <br /> Fee Simple TiHeholder Address � �� ,c��� / � �y� <br /> JOB ADDRESS /� �� y � /�- ��"j//�''� ' LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TA1C NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ LT Q SIGN � � DEMOLISH <br /> INSTALL PAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FR.4ME� � STEEL � <br /> DESCRIPTION OF WORK v/ ! ��l�L/'l`�.�3�� v�" � ' <br /> BUILDING SIZE � /�l.C�I(� SQ FOOTAGE� HEIGHT � <br /> �UILDING $� //��j - VALUATION OF TOTAL CONSTRUCTION <br /> L{i�� �_ <br /> �� <br /> I �LECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �r � `6� <br /> � G' /,, �}�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /,y�G����S�'"r <br /> i f�D��� G <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �j��l <br /> /VV � <br /> BUILDER I � /' ✓ COMPANY � ` ` %`r <br /> SIGNATURE � REGISTERED / FEE CURRE Y(N <br /> ` r <br /> Address 3J �-- License# I ��— <br /> ELECTRICIAN a"COMPANY �P � /J L��f <br /> SIGNATURE REGISTERED / N FEE RE� Y/N <br /> Address /��� ! �� License# r-.��` � �/"�( <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CORfiPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/N <br /> Address License#f <br /> 010000000 � IYGOOOOCBDE � OOOOO � ODOO � oo00000E0L00 � E00070Y0t00101011001A <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construc[ion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complele sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for nev�construction. <br /> Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Stormwater Plans w/Sil[Fence installed. <br /> Sanitary Facilfties 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:^ <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Plotice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(far the conlractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foolage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />