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of ze-phyrhills Permit Applltc�tio� S-TSCkt*21 <br /> Et uding u3pariment <br /> Date Received <br /> I I a 1 4 9 It rr <br /> Owners Name, Owner Phone Number <br /> Owner's Addres owner Phone Number <br /> Fee Simple Titleholder Name t owner Phone Number <br /> Fee Orriplo Titleholder Address <br /> JOB ADDRESS LOT#fi�V,,r) <br /> SUBDIVISION 'r C'a PARCEL tOOf (OBTAINED FROM PROPEATf TAX NMOM <br /> WORK PROPOSED NEW CONSTR r7 ADDIALT SIGN Q r7 DEMOLISH <br /> INSTALL r__j REPAIR <br /> PROPOSED USE Q SFR f7 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK ^n. FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDINIG-Size- I- 7-SQFOOTAGM HEIGHTS <br /> ... . .. . . . . . <br /> UILDING I S VALUATION OF TOTAL CONSTRUCTION <br /> [:]ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 5;2rpLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> r-]0AS p 11,00MMIG $PWALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA MYES NO <br /> BUILDER COMPANY R90 SIGNATURE STEREO I Yj L4 I FaECURM <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERE07- Y-1 FeEcumv, L�ot <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE FEE CURREN I Y/N <br /> Addrow tJ rtaoP <br /> RE-GIMR120 YIN FEE CURREN =N <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> Address Licenat it F7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREN <br /> Address License 0 <br /> r-rESIOEMMI, Aft,?_rh(2)Plot Plans:(11)Sett.of RqHdinnPlg!j.5:(1)se!ofr-itmy Forms:R.O.W Pc-n,-Rf*r <br /> Minimum ten(10)working omps after submittal date. Required onsite,Construction Plans,Stormwater Plans kv/Slit Fence lnstsl!ed, <br /> Sanitary Facilities&I dumpster.,Site Work Permit for subdivisiOnsfiarge,projects <br /> -COMMERCIAL Attach(2)complete sets of Building Plans plus a Life 56"Page:(1)set ofEnergly Forrils,R-O.WPormit for now construction. <br /> Minimum tan(10)Worldrig days after submittal date. Required oncluk Construction Plans,Slormwater Plans w/Slit Fence Installed, <br /> compr=ica <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW Conaltuellon. <br /> Fit,out application completely. <br /> Owner&Contractor sign be&.of application,notarized <br /> If over$2600,a Notice of Commencement Is Mulred. (A/C upgrades over$7600) <br /> %.acn-'for t;c-c­critm-tcr"sr Pv'vc.ZfA-vL"Mv't pr I'm V=Ute wz'..' auzz;Qvueel-;aa 6cw.w- <br /> -OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rarooft if shingfes Sewers Service Upgrades AIG ,Fences(PlotfSurvey/Fdotage) <br /> ROW- <br />