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— --- CityOfZaohYrh\l\s Permit Application Fax-813-780-0021 <br /> Building Department <br /> . . . <br /> date Received Phone Contact for Permitting dr�,.pr��-C-6 <br /> I Ali All 1­1111 <br /> Owner's Name he�z In C_ Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS lain <br /> muBmV0xzN RCEL ID# <br /> (OBTAINE�D�ROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wawcomurn 8DD6ALT �--� G\oN F—� F--1 DEMOLISH <br /> |NGTALL �_] REPAIR <br /> PROPOSED USE F--� SFR �—1 COMM �--� OTHER <br /> TYPE OFCONSTRUCTION [—�J� BLOCK �-� FRAME �--� STEELBUILDING SIZE SQ FOOTAGE HEIGHT <br /> [--1 <br /> DESCRIPTION OF WORK <br /> eA <br /> [__]BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELE[T77CAL F--� PROGRESS ENERGY F--1 YY.R.E,C. <br /> F--lpLVMB!MG <br /> �—��ECHAN|��L VALUATION <br /> ___' <br /> =GAS [�l ROOFING SPECIALTY �--1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Bu|LoeB COMPANY <br /> S|GNATURE nsa/orsnso L_Y_LNl 'EEc»«wE^ LLN_� <br /> Address License# <br /> ELEcTR\ClAN compmvv <br /> SIGNATURE nso/erEnso L��_�_� FssooxnEN L_l/N_� <br /> Address License# lkj <br /> PLUMBER COMPANY <br /> a|s0A7VRE o nso/STEnso LY/_N_ I resnunnsN NL� <br /> � <br /> Address U��e# <br /> MECVxN!cAL COMPANY <br /> SIGNATURE n��/or�neo ` LVJ Fescunnsx» L_I�lN � <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE neo/STEnso L�2_�L_J pssouRns» L_2 /NL� <br /> ' <br /> Address Uoen o# I cc <br /> RESIDENTIAL Attach(2)Plot Plans;'(2)sets of Building Plant;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required ona\he.Construction Plans Sharmwater Plans vl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _} <br /> COMMERCIAL At�uh(2)comp|�oo��ofguUd\ngPionnp\uoaUfeSo��Pago�<1>aetmfEne��F� a.F+0-W Permit for new construction. <br /> Minimum ten(iO)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wt 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 /> **°°PRJPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized . <br /> M over$usou,a Notice ofCommonoomnrdisrequired. (AC upgrades over Q75V0) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would bo someone Withnotarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (oupyoycontract required) <br /> Ramofsifshingles Sewers Service Upgrades 8k} Fanuuo(P|ot/Sumey/FootaUo) <br /> � <br /> Driveways-Not over Counter ifon public madvaym..noadoROW ' <br /> / ' <br />