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City OfZeohYrhUlG Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received ZA,.,v Phone Contact for Permitting <br /> Owner's Name Owne:Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION |o# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wewcowsTn F7 *Do/AJ]' F---| o|GN �-� F--| DEMOLISH <br /> INSTALL �_1 REPAIR <br /> PROPOSED USE �--1 aFR �-� COMM F---� OTHE* <br /> TYPE OF CONSTRUCTION E-]- BLOCK �--1 FRAME F---� GTEEL F--1 <br /> =BUILDING 1$ VALUATI ON OF TOTAL CONSTRUCTION <br /> F--lELE[TR|CAL AMP SERVICE �--l. PROGRE8SENERGY F--| VY.R-E.C. <br /> 600 <br /> =PLUMBING <br /> =MECHANkCA MECHANICAL INSTALLATION <br /> ` �-"4' ' ' <br /> [--|GAG L±�� ROOFING F-� SPECIALTY �---| OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =yEG NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> oo/LDER COMPANY <br /> PC- <br /> SIGNATURE neGensaso �L8N pEEu«nnEN [Y/N] <br /> Address Unaneo# <br /> =_LECTRCu\w COMPANY <br /> SIGNATURE REGISTERED ^ rELoonnEN - <br /> Address License# <br /> ,LUMBER COMPANY <br /> 3|G0ATURE nsaIarsneo ' FesICunnsx <br /> Address License# <br /> mEo*AmioxL COMPANY <br /> s|GNATUDE REGISTERED � VVN IpftE CUnRE^V ��----- <br /> Address <br /> zmER COMPANY <br /> ;|GNpJuRE nsa/arsnso -�� <br /> A4uress License# <br /> x x x10m u u x x x x n n if x n x x n u m n u x u u x x m m x n n x u u n m m w <br /> lE8|oENTAL Attach pq Plot Plans;pq sets of Building Plans;(1)set of Energy Forms;R'O4NPermit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sani1ary Facilities&Idumpn0ar;Site Work Permit for subdivisions/large projects ' <br /> /O/0&YERC/AL Attach(2)complete sets of Building Plans plus a Life Safety (1)set ofEnergy Forms.R, Permit for new construction. <br /> Minimum ten(18)working days after submittal date. Required nnnho.Construction Plans,Gtunn*ator Plans y/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> UGNPEBM}T Attach(2)sets uf Engineered P|Bnu. <br /> °°"PROpERTY SURVEY required for ail NEW construction. ' <br /> Fill out opp|icatinncompletely. <br /> Owner&Contractor sign back of application,notarized <br /> n over$2ao0,a Notice q,Commencement isrequired. (VC upgrades over*75UV) <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame <br /> nKER THE COUNTER PERMITTING (copy uf contract required) <br /> ,emofs if shingles Sewers Service Upgrades A/C Fences(pbt/8uweyYFootagn) . <br /> Driveways-Not over Counter ifon public mod*aya'nnedoROW <br /> , <br />