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Ulty of Zep.hyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Ow er Phone Nur <br /> Owner's Address 17-16011 VOW 7b!:��flM if.3JS3' <br /> T1 �L-Ow er Phone Number <br /> Fee Simple Titleholder Name F aawp Ow er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS nbnA LOT# <br /> SUBDIVISION PARCEL[nit <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> ff INSTALL8 REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK W t <br /> BUILDING SIZE _1SQ FOOTAGE :sq4t HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CO STRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> TRU <br /> =PLUMBING 1$ <br /> Z;Z, <br /> =MECHANICAL VALUATION OF MECHANIC L INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - <br /> �- rz- Nt!2ho I nc- <br /> REGISTERED YIN N FEE CURREN L N <br /> BUILDER COMPANY <br /> SIGNATURE _LL__J <br /> Address License# EaE;9C&2 <br /> ELECTRICIAN COMPANY ��rncj,,q P_Jec4de <br /> SIGNATURE REGISTERED N I FEE CURREN I Y/N I <br /> Address License# C:C, 2 <br /> PLUMBER COMPANY <br /> R (-]gi <br /> SIGNATURE REGISTERED Y/ N FEEbURREN -(/N <br /> Address NO_b)df*) Silt 10M k1I License# 1 cpcm3- 04- 1 <br /> Ri 7�u <br /> COMPANY <br /> SIGNATURE f- <br /> MECHANICAL REGISTERED V I'N I FEE CURREN\J I Y/N <br /> Address DxS�Qv (4- 6ko 12jr6q --won License# I CA C-6 33 M1 <br /> OTHER COMPANY Y-(Ick <br /> SIGNATURE F pp REGISTERED Y1 N I FEE CURREN Y/N <br /> Address N License# C(— <br /> 11 111 111 11 1 111 1 1 <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 C nstruction Plans,,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/la, projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms,R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,C6struction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.P 11 commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: - - - - - - - - - - - - - - - -— - - - - - - -- - - - - <br /> Fill 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$7501.) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone withtarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footge) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />