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City OfZen p|iCatDn Fa»813-780-0021 <br /> Building Department <br /> IF lPhone Contact for Permitting <br /> Owner's Name JnC_ Owner Phone Number Lg(, <br /> Owner'sAddressl lub�,T_�- Acmm Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> 8VaDK8muzN m# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COmsm ADD/ALT SIGN DEMOLISH <br /> INSTALL [_1 REPAIR <br /> PROPOSED USE T--� oFR F—1 COMM [---1 oTMER <br /> TYPE OPCONSTRUCTION E2~ BLOCK �—1 FRAME �--\ STEELBUILDING SIZE SQ FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK Z_?40L <br /> ' <br /> �—��UiLD|N� <br /> �—� VALUATION OF TOTAL CONSTRU��ON <br /> C)= <br /> F--�EL�OT�\CAL AMP �--1 PROGRESS ENERGY �—1 VY.R.E.C. <br /> ��� <br /> �--\pLU�B|N� '� �. ��� <br /> �� <br /> �--l�ECHAN|��� MECHANICAL LL <br /> �__ <br /> �--�GAS F�� ' ROOFING F—� � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> euILoER COMPANY Lkho <br /> SIGNATURE nsemrsnso FEEuumxE^ LYIN_j <br /> License-- — <br /> Address - <br /> L�,�o BrC4�-e <br /> H-LEoTRIouN COMPANY <br /> SIGNATURE nssmrsnEo L_I��L� Fssuunnsx LY/_NL� <br /> Address u # <br /> :'LUMBER COMPANY <br /> BoNATURE o nse/areRso L_Y/_N_J FssoonnEx L_(/N_J <br /> Address License# <br /> mECnAN\CAL COMPANY <br /> ;}aMATVRE nso/arenso ` L����� psEcunnsxv LY/NL� <br /> Address License# <br /> )THER comP4mv <br /> BaNAJURE REGISTERED LY/ N pEEcunRE^ Ll/NU <br /> A6dress Licnnee# <br /> BESVDENTIA- 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. Roquiregnnsiba`Conotrun0onP|on�.SVannveterP|anov/8||tFanoa\nsta|\ed. <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects .�_� <br /> ;QMMERC�L 8�auhC4 complete o�sof Building Plans�uoaLde@o��Page;(1)set ofEne�yFunnn.R'O4NPann��nnewconstruction. <br /> Minimum ten(1O)working days after submittal date. Required onsde.Construction Plans,8honmvater Plans y/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> VgNPERM[T Attach �(�)s� ofEngineenedP|ano. <br /> ^°"PROpERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> owner&Contractor sign back of application,motuhzed <br /> }f over$2suo,m Notice cx Commencement isrequired. (A/C upgrades over*75OV) <br /> ` Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letterfrom owner authorizing same � <br /> >VERTHE COUNTER PERMITTING (copy of contract required) ' <br /> ,emofs if shingles Sewers Service Upgrades A/C Foncoa(P|ubSurvey/FootaSo) <br /> Driveways-Not over Counter ifon public madvayo..neoUeROW ' <br /> / <br />