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City of ZenhYrhi|i8 p8rmitApp\\catinO Fox-813-780-0021 <br /> Building Department <br /> Phon <br /> Date Received` e Contact for Permitting <br /> Owners Name Owner Phone Number Lct V, <br /> Owner's Address <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> 8uBoNIaiom (o# <br /> Fun 'On F-� 2-1 -61go- bo-tw -(-)q(fn6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED mowcomsTn xDD/ALT �--� SIGN �—� [--1 DEMOLISH <br /> ff INSTALL i_\ REPAIR <br /> PROPOSED USE F--1 eFR �—1 COMM F---1 OTHER <br /> TYPE oFCONSTRUCTION [—��' BLOC-K �—1 FRAME F---1 GTEELBUILDING SIZE F— SQ FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK . SIncv- <br /> ' <br /> =BU|LD|NG VALUATION OF TOTAL CONSTRUCTION <br /> [--�ELECTRICAL AMP SERVICE �--� PROGRESS ENERGY �—� YY.R-E.C. <br /> [___]PLUMBING <br /> =MEnMANkCAL $ 4 VALUATION OF MECHANICAL INSTALLATION <br /> =cvxa E77 ROOFING F—l � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F--lYES NO <br /> Bu|LDER COMPANY nc <br /> SIGNATURE nseIorEneo <br /> Ado,uae <br /> ELECTRICIAN COMPANY L�ciQ <br /> SIGNATURE nso/mEmso <br /> Address <br /> :,LUMBER COMPANY <br /> 3|GN/TuRE nez/arsnso <br /> Address 10M 4A Lioense# <br /> wECHANloAL COMPANY Orb Sir-A, <br /> ;|GN/u'URE REGISTERED <br /> Address <br /> )T*ER —;���JCOMPANY <br /> xGNxzuRE nEo/snEeso <br /> FEE CURREN _--_� <br /> Address Ucenoo# <br /> x x n 11 x x x x x x u n m o u x n �x x V U m x x n x 1,0x u x o x u x n m a x u u x u n m m x u x x x o 1 m m u x x n n FCC 1 1 n u m m <br /> ZEG|DENTQ\L A� g och� PbtP�na;�� �a� ofB�kUngP�ms;�)m�ofEno�yFonno|F-O4VPonn�fnrnmwcona�uoUon. <br /> � Minimum ten(1V)working days after submittal date. Required onsite,Construction Plan�,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary <br /> -OMMERC � /��ch��oomp|u0am�oufBuUd\ngPianap|unaLU�Gof�yPagu�(1)o of Forms'—�.R, �ennitfor�ewcono�uc0on. <br /> V\ <br /> Minimum ten(10)working days after submittal date. Required ona\to.Construction Plans,Stormwater P|anoyl Silt Fence installed, <br /> Sanitary Facilities&1dumpstor.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> x GNPE8M/T Attach(2)sets of EngineeredPlano, <br /> °^"PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back ofappWcatiun.notarized <br /> n over$cano'a Notice cf Commencement isrequired. 9VC upgrades over$75V0> � <br /> ^ Agent(for the contractor)or Power of Attorney(for the owner)would be someone With notarized letter from owner authorizingsame <br /> >VERTHE COUNTER PERMITTING (copy uf contract required) <br /> ,emofs if shingles Sewers Service Upgrades A/C Fmncon(P|uVSuweyFuutago) <br /> Driveways-Notnvo Counter Jon public madwoyn..naednROW <br /> ,/ <br /> ' ! ^ <br /> ' <br />