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°'`''"".v"4u City OfZeohvrhi}i8 Permit Application ' Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting -117-Y-117-ry us a Now as <br /> Owner's Name I-Vs. Inc-, J Owner Phone Nu m* ber <br /> Owner's Address 7D 3S ?--Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [5��39 3-�; (� I LOT# <br /> aUoo|V\S/Om Iow <br /> (OBTAINED FROM PROPEKTY TAX NOTICEl <br /> WORK PROPOSED mamoomsm 8mD6ALT �--� SIGN. F--1 F--1 DEMOLISH <br /> INSTALL �_� REPAIR <br /> PROPOSED USE �—� oFR F—� COMM �--1 OTHER <br /> TYPE OF CONSTRUCTION E-]- BLOCK �—� FRAME �--7 STEELBUILDING SIZE SQ FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK F i�w �S, V­Qv_ eoz�l&-mL -�--?ed -S eA ffi <br /> �—�ELECTR]CA� AMP �--1 PROGRESS ENERGY �—� VYJ�E/� <br /> ___ <br /> =PLUMBUNG <br /> =MECHANkCAL ob VALUATION OF MECHANICAL INSTALLATION <br /> =GAG L�� ROOFING �—l � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS 7FLOOD ZONE AREA =YES NO <br /> BUILoER COMPANY <br /> SIGNATURE nsoISTsnso LY/ N_| FEEuu«^b~ LY_/N_I <br /> Address License* <br /> HLEoTRICNN cumpAm, <br /> 9\oNATVRE REGISTERED LYLN_ rEE:v:RE^ L�N I <br /> Address ununoo* <br /> ,LUMosR COMPANY <br /> @oNAJURE REGISTERED LY1_N FesnunRE^ L—YIN � <br /> Address License# <br /> VIsCHAN�CA� compmxr <br /> B�N��RE u�m��� ` L�_N � p��m,�° L��� . <br /> Address License# <br /> }THER COMPANY <br /> NGNATURE nso/nrsnED L_l/_N_] rEE:v«:E^ L_Y/ �_| <br /> A ddress License# I cc <br /> � n u x o x m x x x m m m m x o u m x x x x w 1111 n x u 1Px x o x m x n o x x n x n n x n n n x n x x u n x x u u u x x m N o u x x <br /> mESloExTlAL Attach(2)Plot Plans;'(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpahor;Site Work Permit for subdivisions/large projects __) <br /> ;O8AMERCb4L AUbuh�4nomp|�an�snf Building Plans plus oLUeGa��Page;(1)set nfEno�y'Foms.R,O4w Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onaite.Construction P|anoyi Silt Fence installed, <br /> Sanitary Facilities&1dumpoter Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> UGNPEeM\T Attach(2)sets of EngineeredP{anm. <br /> ~�°PRDPERr/SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over*rsun,o Notice pf Commencement isrequired. (AC upgrades over$75V0) <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letterfrom owner outhorizingsame <br /> ' . <br /> x/ER THE COUNTER PERMITTING (copy of contract required) <br /> ,emofs if shingles Sewers Service Upgrades A/C Fences <br /> Driveways-Not over Counter ifun public roadvayn.needoROW <br /> ' <br />