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~­"_" City DfZenhV[hi\l` Permit Application ' Fex813-780-0021 <br /> Building DepartmentDate Received F Phone Contact for Permitting QiAk_(Da1rk0rf100, CO <br /> rX Owner Phone Number <br /> Owner's Name <br /> Owner'*s Address57_(4o?"_:U:,J from mon 3 3 P_ Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Nurqber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL0# <br /> ,='°"r=","onPROPERTY TAX NOTICE) <br /> WORK PROPOSED mowcomsTn ADD/ALT F---1 a\GN F--( F--| DEMOLISH <br /> ET INSTALL E REPAIR <br /> PROPOSED USE = SFR [—� COMM �--� OTHER' <br /> TYPE OF ' BLOCK �—�' FRAME �--� STEEL �--( <br /> DESCRIPTION OF WORK ne—,jert-L t_=5 eel ?- Z__ <br /> ] SQ FOOTAGE HEIGHT <br /> BUILDING SIZE <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 7--�EL�[��c�L �NpeEFn/�� �--1 PROGRESS ENERGY �—1 YY.F�E.�� <br /> ___ <br /> =PLUMBING <br /> �—��ECH�N��� ' MECHANICAL <br /> ___ . <br /> �—�G8S ROOFING �—| � SPECIALTY OTHER <br /> QTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Lr,, <br /> SIGNATURE REGISTERED FEI'CURRE� Y/N <br /> Address Licanse# ` <br /> ELECTRICIAN compxmr <br /> SIGNATURE REGISTERED LY I N rEEEouRREx LY_/N J <br /> Address Uuumse# <br /> 3- <br /> PLUMBER COMPANY <br /> SIGNATURE nsa/arsneo Yl_N_ 'xseoumnex L__y LN_J �^ <br /> Address Licentm# <br /> MECHANICAL COMPANY <br /> SIGNATURE /'N ncEcunRex —[���l�� . <br /> 4du,osy Uoon»e# <br /> OTHER uoMpAmr <br /> SIGNATURE RsaIorEnso LY/ NL_| F�:EcunnEN L_y_LN _�J <br /> ' <br /> Address No I FA L Licenaa# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets uf Building Pbna�(1)set of Energy Forms;R'O4YPermit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite.Construction Plans,-Stonnwater Plans vl Silt Fence,installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atfach(%)complete sets of Building Plans plus o Life 8af � � P� Y�� Pogo�(1>sotofEn �yFoon�. �- �snn�oornewoonstruobon. <br /> Minimum ten(1O)working days after submittal date. Required onoite.Construction Plans,Ghomxete P\annv/Silt Fence installed, <br /> Sanitary Facilities&1 dumpater.Site Work Permit for all new projects.All commercial requirement's must meet compliance <br /> SIGN PERMIT Attach(2)sets-of Engineered p|�no. <br /> ^�°pROpEPTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2sou.a Notice of Commencement isrequired. (AJC upgrades over*7s0U) . <br /> � Agent(for the contractor)ur Power of/Wtomm�(for the owner)would bo someone Withnotarized letter hnm owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> RemcfsJshingles Savenu Service Upgrades A/C Fonoea(P|oVOmvey/FootaQo) <br /> x ' <br /> Driveways-Not over Counter ifon public modwayo'neodoROW <br /> ' <br /> '^^ . <br /> ` ' <br />