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813-780-0020 City Of z6phyrhillS Permlt Application Fax 813-780-0021 <br /> Building Department <br /> Date Received ` n-Phone Contact for.Permitting �l 7 �� — 6 53 <br /> Owner's Name C G?.j Ott Owner Phone Number <br /> Ownees'Address ( % ~ 5' Owner Phone Number: .. t <br /> Fee Simple Titleholder Name �. Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS. ~ LOT# <br /> . � -. <br /> SUBDIVISION - -PARCEL D# - 0010.02. .ciQ,-.00—� <br /> (OBTAINEDfROMPROPERTY TAX.NOTICE),' . <br /> WORK PROPOSED R <br /> NEW:CONSTR 8 ADD/ALT Q SIGN e0_. Q DEMOLISH <br /> INSTALL REPAIR.,, . <br /> PROPOSED USE Q SFR Q COMM OTHER . <br /> TYPE OF CONSTRUCTION �' BLOCK Q FRAME ' STEEL 0 <br /> DESCRIPTION OF WORK S,F t ` <br /> BUILDING SIZE ] SCt FOOTAGE S HEIGHT, <br /> =BUILDING $ r5 �� VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $' AMP SERVICE: Q PROGRESS ENERGY 0 �W.R:E.C.; ., <br /> =PLUMBING ($ <br /> L <br /> =MECHANICAL $ VALUATION OF-MECHANICAL INSTALLATION <br /> ]GAS SPECIALTY ROOFING ; •OTHER <br /> [ I �. C� <br /> FINtSHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES "NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED :'�'Y T'N '=';•` 'FEE CURREi� Y is N . <br /> Address Lice ' e#> <br /> ELECTRICIAN,, 'COMPANY:: <br /> SIGNATURE REGISTER ED•: ,Y;/:N FEE.CWRREi, <br /> Address License#. <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/.Wt FEE CURREN LaN' <br /> Address License# ' <br /> MECHANICAL: COMPANY. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN' Y J N <br /> Address. License#' <br /> OTHER. 4 \ COMPANY <br /> SIGNATURE {f� REGISTERED` Y t N= FEE cuRREs+ " t.N` <br /> Andress . !} V t C' .:'License#.. CC-_C 05.7�_�-.Y <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building,Plans;{1)setof.Energy.Forms;R=O=W',Perinit.far.new,construction; <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans.w/•Silt Fericiinstailed, <br /> Sanitary Facilities&1 dumpster;Site Work`Permit for subdivisions/large,projects <br /> COMMERCIAL Attach'(2)complete sets of Building Plans plus'a,Life SafotyPage;(1)set of Energy.Forms..R-O-1N_Permit for_naw construction.:. - <br /> Minimum ten(10)working days after submittal date."Required onsite,Construction Plans;..Stormwatet Plans:.w/Silt Fence:lnstalled; <br /> Sanitary Facilities&`.1-dumpster.Site.Work:Permit for all,now projects.All commercial-requiremenWrriust meet compliance <br /> SIGN PERMIT Attach(2).sets.of Engineered Plans. <br /> ""*"PROPERTY SURVEY required for all NEW,construction. <br /> Directions; <br /> Fill out application completely. <br /> Owner&Contractor sign back ofapplication,notarized <br /> if over-$2500,.a Notice of Commencement Is required...(AtC upgrades over,$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required)-, <br /> Reroofs if shingles Sealers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />