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City OfZeohY[h\l\S Permit Application Fa»813-780-0021 <br /> . . Building Department <br /> Date Received Phone Contact for Permitting P aicte-na—, C <br /> Owner's Name n r Owner Phone Number <br /> :1ccnm'Dv- Ta- Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 <br /> JOB ADDRESS 5s wo z, R d my_-�sao k 24 o, chi osi E� -3 3,��q t LOT# <br /> (OBTAINED FROM PROPERTY TAX NOTICt) <br /> WORK PROPOSED mewcomSTn AoDAA[T �--1 SIGN �--1 [--� DEMOLISH ' <br /> E5 INSTALL [ DEMOLISH_l REPAIR <br /> PROPOSED USE �—� ' SFR �-� COMM �--1 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK F-� FRAME �---1 STEELBUILDING SIZE SQFOOTAGE��3 'Eqg_� HEIGHT <br /> ' <br /> =BU|LDING ril VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRoAL AMP SERVICE �--� PROGRESS ENERGY �--� vV1�s/C <br /> =PLUMo\NG <br /> — �ECMANk�L ,"�""'=`~ `�~~ `'~'~^~'^~~^'ON <br /> yv \ <br /> �--\GAS �-��' 'ROOFING F—� � SPECIALTY [---� OTHE� <br /> �—� �—� � ^---- \ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nso/aTsnso LY/ N rEEc»««E^ LZI�L� <br /> Address License# <br /> ELECTRICIAN �ompxmr <br /> SIGNATUREnsa/mrceso L_l���� rsscunn�x L���L� <br /> Address J b S 0 License# <br /> PLUMBER C06AN( <br /> SIGNATURE REu/orEneo LY/ NL Feeouanex L�2NL� ~^ <br /> Address License* <br /> MECHANICAL <br /> SIGNATURE, e5 1(/'N | Fseounnea [��2�_� <br /> Address � License# <br /> OTHER ooMpAmr <br /> SIGNATURE eea/orsnso L��_�_J pEsnunns^ L_LLNL_�J <br /> Address License# <br /> RESIDENTIAL Attach(2}Plot Plans;(2)sets oy Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required uns\\a.Construction Plans,8tonnvater Plans wySilt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onoito.Construction Plans,Stnrnvwator Plans v/Silt Fence installed, <br /> Sanitary Fod|ition&1dumpotec Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back o[application,notarized <br /> If over$ssoo,a Notice o*Commencement isrequired. (A/o upgrades over*75un) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rnmofs\fshingles 8ewano Service Upgrades A/C Fennoa(P\oKSumey/FoWage) <br /> Driveways-Not over Counter ifun public modpmya..noednROW <br /> ^^ <br /> , <br />