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City ofZenhYrhiUs Permit AnpUC3t0O Fax-813-780-0021 <br /> Building Department <br /> FPhone Contact for Permitting <br /> I NMI 1Y�. V . I A I I <br /> Owner's Name <br /> Owner Phone Number ' <br /> uwnaroxdu 7—'Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> nuBox/IS/O0 Uz# <br /> FZko <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wawoowsm AoD/A[T �---� 8|GN F—� [--� DEMOLISH <br /> Ef INSTALL F_1 REPAIR <br /> PROPOSED USE �—� 0FR �-7 COMM �--� OTHER <br /> TYPE OF CONSTRUCTION E:2— BLOCK F—� FRAME �--� STEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BU\Lo|NG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR]CAL AMP SERVICE �--1 PROGRESS ENERGY �—1 VV.R.E.C. <br /> =PLUMB|NG <br /> ' ' <br /> =MECHANICAL VALUATION OF MECHANICAL|NSTALLAOON <br /> �--lG&G L�� ROOFING �—� � SPECIALTY OTHER <br /> DTHER <br /> F|N|SHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER <br /> COMPANY <br /> REGISTERED n�o� �nso ^ rssounnE^ I YIN <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nEo/mEnso ` pEEounmeN �—&ddmss <br /> PLUMBER COMPANY <br /> SIGNATURE nsG/STEnso <br /> Address License# <br /> MECHAN/CAL COMPANY <br /> SIGNATURE F nso|ursnso FItEcunREN`V�I YIN <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE nsoin/sRsu Y1 N I - rEsiCuRREx -�- <br /> Address Licnuse# <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(1O)working days after submittal date. Required onsite,Construction Plan�,Stormwater Plans w/Slit Fence installed, <br /> Sa.nitary Facilities 81d pste Site Work Permit fo bdhvi i s8 projects <br /> COMMERCIAL Attach Cg complete sets uf Building Plans plus e Life Safety Page;(1)set of Energy Fniiri�,R'O-W Permit for new construction. <br /> NUnknum ten�10)working days after submittal date. Required pnsite.Construction Plans,Stonnvna�r Plans v/SUtFence installed, <br /> Sanitary Facilities G 1 dump� c� Site Work Permit for all new pn projects.All commercial roquinhmen�muatmoetoomp|ianoo <br /> SIGN PERMIT Attach(2)sets of Engineered Plana <br /> �� -( <br /> PROPEFTY8URVEYmquiredfora|\NsVYconotructiun. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back ofapplicaton.notarized <br /> |f over$aaon,a Notice of Commencement|srequired. (Vc upgrades over*T5$O) <br /> °^ Agent(for the contractor)or Power nfA8ome�(fortheowner)wou|dbaaomoone*ithnotshzod|eMerfromnwnerauthobzi �mme".,:: � <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rommfs if shingles Sewers Service Upgrades A/C Fnncea(P|oV8umey/Footage) <br /> onvowmya'Not over Counter ifon public madvays'nnadsROW <br /> ' <br /> ' <br />