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813-780-0020 City of ZeD «rhills Pe pUc@ton Fox-813-780-0021 <br /> Building DepartmentDate Received Phone Contact for Permitting <br /> Owner's Name H Owner Phone Number <br /> Owner's Address rl V e r L�'Ve- Owner Phone Number <br /> V� Own r Phone Number <br /> JOB ADDRESS LOT# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR Comm THER <br /> TYPE OF CONSTRUCTION BLOCK FRAME �TEEL <br /> SQ FOOTAGE <br /> BUILDING SIZE [_ �EIGHT <br /> VALUATION OF TOTAL CONSTRUCTION <br /> E:P/mECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> Address License# <br /> PLUMBER COMPANY <br /> Wu;N/gURs nsGIarsnso <br /> Address License# <br /> MECHANICAL COMPANY 11)&�17o��gli �, 1kT (11*^0 <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ IN FEE CURREN L_Y_LN��J <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 submiftal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&1 dumpster,Site Work Permit for subdivisionsfiarge'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,Col nstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pen-nit 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 /> Fill out application completely. <br /> Owner_Contractor sign back_application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500 <br /> — Agent(for the contractor)n,Power mv Attorney(for the owner)would ue someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rmmufs;ifshingles Sewers Service Upgrades A/C Fencoa(P|nVGuney/Fou o) <br /> Driveways-Not over Counter ifon public modwayu'nemdoROW � <br /> | <br /> � <br />