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City OfZenhV[hilhS Permit Application Fax-813-780-0021 <br /> Building Department <br /> "DateRecelved to Phone Contact for Permitting <br /> 0 ow or's m Owner Phone Numb, <br /> wner's N7ame Pin AM <br /> Owner's Address Owner Phone Number <br /> me Owner Phone Number <br /> Fee Simple Titleholder Na <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> aO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING ' <br /> �--��U�D�� <br /> �—� / VALUATION DF TOTAL CONSTRUCTION <br /> �—�E�ECTRC8� AMP F--� PRD��EG�BNERGY �—� VKR.���� <br /> �--� <br /> =pLUMBiNG <br /> �—��ECMANk�AL MECHANICAL <br /> �__^ . <br /> �--��N� ���' ROOFING [--| SPECIALTY | | OTHER <br /> ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Buuoem COMPANY <br /> SIGNATURE nso/arsnso L��_�_� retoux«E* LY/N_J <br /> Address Uumnoo# <br /> ELECTRICIAN oompAmY <br /> SIGNATUREFt_o� nso/orseso LY/_Nl pesounns^ LY/NL I <br /> Addressu # <br /> PLUMBER13- <br /> COMPANY <br /> , <br /> SIGNATURE �] x � L� <br /> ns�/or�nco �`� � 'psscunn� L� � <br /> 70 <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE REGISTERED , ��,/14_] rsEounesN —t�`/iY�1 <br /> Address J License# <br /> OTHER COMPANY <br /> SIGNATURE nsmensnso ��l��_� psscunnex <br /> Address Licnnoo# <br /> uxuxxxumnxxnmmxnx � xNxxx � nKnUuKNnxuuVVxuxKmnunu � mnxxum � munmmnxnumuoo <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 onsi0a.Construction Plans,G0annvater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1Uumpater;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(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(1U)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ^°^°PROPERTY SURVEY required for all NEW construction. - <br /> Directions- <br /> R||out application completely. <br /> Owner&Contractor sign back uf application,notarized <br /> |f over$ceoo.a Notice qf Commencement isrequired. (uC upgrades over*75UV) <br /> Agent(fbrthenonbeutor)nrPowerofAttoma�(foxtheownm)mmu|dbonnmenneWithnotahzed|otta from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remnfs if shingles Sewers Service Upgrades A/C Fancem(p\nV3umey/Fnotage) ' ^ <br /> Driveways-Not over Counter ifon public modvays'needsROW / ' <br /> ' <br />