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City ofZ8phYrhiUs P'�,-rOit/\op((CEtioO Fo»813-780*021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner Phone Number <br /> owner's Name Inc- <br /> �3�—Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ?)!c6cktA LOT# <br /> SUBDIVISI ON 'Da Vk�-�t4ARCEL ID#6,S_-75—ZI— 0 IN- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> Ef INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION <br /> BLOCK FRAME STEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> F--� / |���� <br /> �—�=' V�LUAToNoFTOT4L <br /> F--lELE[TRCAL AMP SERVICE [--� PROGRESS ENERGY �--1 W.R��� <br /> [--7PLUMB\NG <br /> �--l���HANk�AL MECHANICAL���� <br /> F---lGAS 7� ROOFING [--l � 8PECu\LrY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 96 3i�7" <br /> mUILoEm COMPANY <br /> SksNATuRE nEoonsmso L��_�_� Fsscvnnsx L_l/N_J <br /> Address License# <br /> H_LEcTpDCwN CoMp/wo/ E�,�n ejec4lr�e <br /> 8GNATuRE naaISTsnso LY _N_J rsecunnsN L_y2LN_J <br /> Address License# <br /> �LUMBER COMPANY <br /> 8oNATURE o nse/arsnso �./!��] FesICunns^ L`[IN_J <br /> Address License# <br /> mECHAm1oAL COMPANY <br /> 3\mNATuRE REGISTERED ` L_Yl]�] FftEounnsxw [ Y/2N_J <br /> Address License# <br /> TrHE8 COMPANY <br /> HsNAIURE REGISTERED [Y/ N] FEeounnEN �Y/N —1 <br /> Address License# I cc <br /> DESUDENzU\L 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 81 dumpsbar;Site Work Permit for subdivisions/large projects � <br /> /OMMERC|AL At�oh(2)complete s�sof Building Plans plus oU�Ga��Page;(1)set ofEnorgy' _Fo�s,R,64YPerm\tforvmwoonntrocbon. <br /> Minimum ten(1O)working days after subm\Ua(date. Required onnho.Construction Plans,Shormwabar Plans yl SUtFence in�a\|od. <br /> Gond � <br /> aFod|ibos&1dump�a�SihaWorkPenn\tfura|\nm*po4o�s.A8nommo�io|m � <br /> qu�rbmnnmuotmaoLcomp|(anca <br /> UGNPERM|T Attach(2)sets nf Engineered Plans. <br /> °^°"PROPER[Y SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back ofappucatiun`notarized <br /> n over*c5oo'a Notice of Commencement isrequired. KVC upgrades over$T5VO> <br /> ^ <br /> Agent(for the contractor)ur Power of/ttoms�(for the owner)would bo someone Withnotarized letter from owner authorizing same <br /> n/eR THE COUNTER PERMITTING (copy of contract required) <br /> �mnfs if shingles Sewers Service Upgrades A/C Fonoaa(Plot/8urvey/Fuotaga) <br /> ` <br /> Driveways-Not over Counter ifun public madvays'naodmROW <br /> ` ' <br /> ' <br />