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City ofZeohVrh\\\a Permit Application Fa»813-780-0021 <br /> Building Department <br /> Date Received -5 to exxuc� <br /> Phone Contact for Permitting aiat-OCAV-kortm, com <br /> nc <br /> Owner's Name Owner Phone Number <br /> Owner's Addressl Owner Phone Number <br /> -Fee Simple Titleholder Name -sn MJL Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> ' <br /> SUBDIVISION PAmoELUD# <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mewcomsrn ADo�Lr F---1 8|GN �—� F--| DEMOLISH <br /> �__] INSTALL R <br /> REPAIR' <br /> PROPOSED USE = . eFR �—1 COMM F--_| OTHER <br /> TYPE OFCONSTRUCTION FI/T BLOCK �—� FRAME �---� GTEEL �--� <br /> DESCRIPTION OF WORK <br /> ' <br /> [__1BUiLD|NG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR|CAL AMP SERVICE F--1 PROGRESS ENERGY �--7 YY.R.E.C. <br /> [__]PLUMBING <br /> =MECHAN|CAL MECHANICAL INSTALLATION <br /> ou <br /> �—�GAG �-��' Fy]��|�� OTHER F—� � S�BC|�LTYF---� <br /> �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA | |YES NO <br /> BUILDER COMPANY h6dw LY\ <br /> SIGNATURE neuIarsnso <br /> Auumns Lioeneo# <br /> FC <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE nsu/arEneo <br /> Address Lioanse# <br /> PLUMBER COMPANY <br /> SIGNATURE nso/m�nsu <br /> ^_-____. <br /> Address <br /> MECHANICAL J REGISTERED FEE CURREN _t��/N <br /> SIGNATURE <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE �so/msn�o <br /> — FEE CURREN ______- <br /> Address License# <br /> REolDE0T1AL /�ach(2)Plot Plans;�)o�sof Building p�ns;(1)set nf Energy Forms;F�O��Permit for new oonsboudon. <br /> � Minimum ten(10)working days after submittal date. Required nnniha.Construction Plans,S1onnwmtor Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects ' <br /> COMMERCIAL Atfach(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 ons|\o. Construction Plans,Shonnvwata Plans v0 Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ^***PRDpERTY SURVEY required for ail NEW construction. ' <br /> Fill out application completely. � x <br /> Owner&Contractor sign back of application,notarized � <br /> n over$o5no,a Notice uf Commencement isrequired. (Vo upgrades over*75VU) � <br /> Agent(for the cunhaotor or ofA#ome�Ubrtheov�e�wou|db000meone��thn��h�ad|e�ar�nmowmero�bori�n <br /> ' authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades /VO Fannoo <br /> , — — _—~` <br /> Driveways-Not over Counter ifoopublic roadvaya,naedsROVV <br /> . <br /> ` ' <br />