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s�3aeo-oozo. City�f ZeQk�yrk�i��S Pe�Fnit�Application Fax-813-780,0021 ,_ I <br /> 'o�iiicutg•,?epanmenf <br /> i : � <br /> QataReceived 1 �a Phone Contactfar Permittin Z — � � <br /> 7 p - -�y► - - � <br /> Owner's Name L't"���� L l' d ��f/� 1P� Owner Phone Number � —�(�2�'� <br /> Owner's Address �� 3Q ��( `�� ✓I• � Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number ' <br /> ,�=ee�sz.r�ea6c.ea��cs��;:�v�ss- � <br /> i <br /> JOBADDRESS � 5.�� r V�la LOT� �� <br /> ; <br /> SUBDIVISION PnRCE��o# o2-Z(D?,I- ��p-b53�-ot� ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM � OTHER , <br /> '[YQ�OF CONS7RUCTlON__ � BLOCK Q FRAM� Q SjE�G �_ <br /> t �.. <br /> �se�-<<ca�t��a�w.,�:c, `,•;(_�'t��1C3L�'tb�'1 k-�YZCc�V �VI-fV�,{ C��S � <br /> BUILDING SIZE SQ FOOTAGE�: HEIGHT � <br /> BUILDING S� �'7 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUM8ING � ^- � /+�� <br /> J } ` .. .. ._ /�I�/1/� <br /> '��i � �/., <br /> �INECHAIVICAL �,3 VALUAY101V-OF.1N�G?1A1�1CAL11ASlALLAlION �` �„�• <br /> �GAS � ROOF7NG Q SPECIqLiY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER �'a� (�/^ �COMPANY � l�C� <br /> SIGNAT,�I�E •��^�'� C„�i�CL � EGISiEREO� . K {�}. ' FEECURREfi. .�' � � <br /> A�dr,ess j���-1--��'=i�=M-�J�—����'-�-{�� I �License# � —C- <br /> EEECiRICWDt COA6FAHY <br /> SIGNATURE REGISTERED Y/N FEE CURRE� Y/N i <br /> Address License# <br /> PLUMBER COMPANY <br /> 5IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 'sS�;avg� -_�z�t�-1 ' <br /> lME�HANICAL COMF1kTdY <br /> S1GNA7d9RE � [�c�s�m Y Y'N : r�curx� ; Y 1N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N <br /> Address License# <br /> e'i��t t'�a!`g�'t;g k:�or:�.�i:�4.�.a:e..c"..:i�'i",'�:'a;.i.[.'i..�;i.�.�r,>C�C.�:i'�:c.c.i'�:e C d�,i:a:a�.�'c:t t-d.i`A;.�.►.C i t;�.i.E,.i._�.R. ' <br /> A�SK�?.�3SA� AtYaGP.(���at P°ar:�:t2j setscx9uydag.Pfaw;(��se;'�z�;ert},F.^,'«ms,FL:.}-7V:'2^m,�::ar;.zrr:a'ast�C c,:,'`•'u . :=r c::: <br /> AAlnimuem ten{tpJ workt�ngdays after submi5ta,date. Requ�ed onsiw,ConsSruct�on Pfa�s,S�rs�wat�c plafts.w!Sit('E.ence Cnstal[ed; <br /> Sanitary Faci6ties&4'd�mpsCer;,S'ete Work Permit forse�bdivisiores/�argeprojects . <br /> COMMERCIAL AtiacEr(2)compCete sets of Bu�lding PYaias plLs a Li�e Sefety Fage;(1,)seR of.EeM1ergy Fortrts.R-0-W Permit for new constrticCrorr. � <br /> Minimum ten(10)working days after subm�tal dffie. Required onsite,Construction Plans,Stortnwater Plans w/S1t Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> Directlons:• <br /> Fill out application completely <br /> O�+�er,&ConVactor sigp back of:app!icatlon,;RWadzed <br /> ;�ty,`arez.�i.'Q.a'_L'ii•ce.a�>�zz�s�rr.EX":�.5�2r�i��2c_.;�"�M1:.ar,�;c�esDvecnT`v:L�,�. <br /> " Agen;(for.tFre conVactor�wfPower of Attnmey.�(fonthe rnmer�would'be someone with'�notaiized�letter.{rom owaaerauthoriang same <br /> �Y�RT�E:CWIa7ER'PERItA1T.TIb1G {copy.of-corttraCtrequired) <br /> `-.dZeroofs�7.shingles Sewars Service t3pgrades A/C �Ences{P1nUSarYey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />