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813-780-0020 City of ze^rh111s Permit Application Fax-813-780=0021 <br /> Building Department n� <br /> cev, <br /> Date Received :j.,Ph6neC,1nIap1fo" <br /> r Permitting. <br /> Owne DID <br /> Owner's Na r <br /> Ouvner Phone Number •, .;- I� �... 'I..IG ',�� <br /> Owner's Address Owner Phone.Number <br /> Fee Simple Titleholder Name Owner Phone-Number.... <br /> Fee Simpl Titleholder Address <br /> JOB ADDRESS G :LOT# li S <br /> SUBDIVISION. G Itin e PARCEL ID# 2-2(0-Z i<.-02b0--02 <br /> (OBTAINED.FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED ' NEW CONSTR ADD/ALT.. SIGN. 0 Q DEMOLISH <br /> e. INSTALL 8 . REPAIR <br /> PROPOSEDUSE [� SFR []., COMM OTHER <br /> TYPE OPCONSTRUCTION BLOCK FRAME' ". STEEL' <br /> DESCRIPTION OF WORK. i fat <br /> BUILDING-SIZE` V <br /> �1!1 yyiz s h i S,Q FOOTAGE HEIGHi''` <br /> QBUlCDING. $ <br /> 'r j�• } VALUATION OF TOTAL OONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY- .:[ W:R:E:C: <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTYe OTHER b <br /> FINISHED FLOOR-ELEVATIONS -� FLOOD-rZONE-AREA =YES: NO. <br /> :BUILDER COMPANY +4pt4lp, own <br /> 1 t <br /> SIGNATURE REGISTERED ''YI'.:N '' TEE'CURREK: <br /> Address License#. . <br /> ELECTRICIAN. FCOMPANY <br /> SiGNATURI: REGisTent a.. Y/-N FEE'CURREn .•:; : Y 1 N. <br /> Address- License#, - <br /> P LUMBER COMPANY <br /> SIGNATURE f2EGi5TEREa Y/ N. FEEcuAktKvv. <br /> Address License#-F 1 <br /> MECHANICAL- ' COMPANY <br /> SIGNATURE REGISTERED- I Y/:•N '. :FEE CURREN <br /> Address License:# r -� 1: <br /> OTHER C,OMPAN., <br /> SIGNATURE REGISTERED Y.�:N .. `FEE:CURRER <br /> Address-, License#.•�_ <br /> RE SIDEN TlAL Attach:(2):Plot-Plans;;(2);sets of Building Plans;(•,1;)set;oEEngrgyforms;R=O-W oe rmit fOr�new constructon;. - <br /> Minhi►umten{10}o5rarking`daysafter sti6mit#at�date. Required,onsite;Co"nstruction Plans;'Stormwater-Piaris�wl:Silt Fence.instatled;. , <br /> Sanitary.Facilities&1.dumpster;•Site Work Permit for subdMsionsAarge projects <br /> COMMERCIAL Attach-(2)complete:sets of:Building':Plans plus a Life:.Safety:Page.',(1)set of Eriergy.FormsrR-O-W.Permit•for new:con§truction.,.:, • _ <br /> Minimum:ten'(10)working days after;sutimittai;date:;.RequiKeil=onsite,Constructlori Plans;S#armwater Pans:wl Sltt-Fence'iristallett,:: <br /> Sanitary Facilities&A dumpster.Site Work Perrr itforall new projects.All commercial requirements must%'M'ee't compliance <br /> SIGN PERMIT Attach(2)sets of=Englneered.Plans... ' <br /> ""PROPERTY'SUAVEY.required,for all NEW construction.' <br /> `[lirectlons: <br /> Fill out application completely. <br /> Owner:&:Contractor;sign''back of application,notarized <br /> If oveu$ifift a Notice of Commencement'Is required. (AfC upgrades over$7500) <br /> •" Agent.(for the contractor)or Power of Attorney(for the owner)would be someone'with notarized letter from owner,authorlAng same <br /> OVER THE COUNTER PERMITTING- (copy of contract.required) <br /> Reroofs if shingles Sewers Service-Upgrades•A/C Fences(Ptot1Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />