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City OfZenhVrhi\lsPermit Application Fax-813-780-0021 <br /> Building Department <br /> . . <br /> Date Received Phone Contact for Permitting (A-512 TLI atiAk-OCAV-kortm, com <br /> at III IRA all AIIIE3 - "_ <br /> Owner's Name Owner Phone Number <br /> rx <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 'TJ -4.1-4 f I <br /> SUBDIVISION F PARCEI I #_� - - I .�/- <br /> (OBTAINEd FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> 2� INSTALL REPAIR <br /> PROPOSED USE = . SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION O' WORK <br /> BUILDINGSIZE SQFOOTAGE[�_-1w HEIGHT <br /> [--�BU�D�� <br /> �—� ` VALUATION OfTOTAL CONSTRUCTION <br /> _-__ <br /> ��ELECTRICAL AMP SERVICE PROGRESSENERGY \�E.C. <br /> =PLUWB|NG <br /> 6[ <br /> �--l�ECHA�|��L MECHANICAL <br /> __- <br /> �--lG8� ���' ROOFING �-� � SPEC IALTY �--� OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nsumnsnso LY/ N FEI�_c»mRE^ L_Y/N_� <br /> Address License# <br /> ELECTRICIAN compmxr <br /> SIGNATURE REGISTERED LY/ Fsecunns^ <br /> Address 1340D 3J Jbhlas Lioonae# <br /> 3- <br /> PLUMBER CO�PANY <br /> SIGNATURE nsa/arsnso LY1 N 'psscunnsx L�YIN_J ~� <br /> Address License# <br /> MECHAN\CA COMPANY <br /> - <br /> S|GNAIDBE E REGISTERED , L��_�_� rEEcunnEx [����_� <br /> Address 1 License# <br /> OTHER CompAmr <br /> SIGNATURE xsa/enenso L�L/ N_) pEEounns^ LY/NL_}J <br /> Address License# <br /> xuuxxxxmmxxxmmxxnxxnuxn`mNnxxnD � UumKm � uxnKmxxxxm � xUxumm � nommnuxmm � ox <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1n)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large 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 onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach sets of Engineered Plans. <br /> °°°°pROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely, <br /> Owner&Contractor sign back nf application,notarized <br /> If over*os0o,a Notice c*Commencement isrequired. (A/C upgrades over*T5oU) <br /> Agent(for the contractor)or Power of Attome�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract eq <br /> Ramo�ifahSewerseo Gow� Service Upgrades A/C Fomces(P|oVGumey/FootoQo) ' ~ <br /> ,` <br /> Driveways-Not over Counter ifon public modvays..needmROW ` � <br /> ' . . <br /> ^^ . <br /> ' <br />