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~'~-1""_%J"4v City of ZenhY[hiU8 Permit Application Fa»813-780-0021 <br /> Building Department <br /> Date Re�eived com <br /> Phone Contact for Permitting <br /> Owner's Name C= Owner Phone Number <br /> Owner'sAddressl 17_(,0o-?_,-_.Tdecom'Dy- Ma 3�L Owner Phone Number <br /> Tee Simple Titleholder Name f\4LJZ_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5S15-Z31;- MlKmi U C-6 zqok g k;11:3, R 3.-L" LOT# 11/k3 <br /> ouomwmKON F El 1k, xRcELuD# <br /> (OB'.MiE"FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wewcomsrn F7 aDO/ALT F---1 a|GN �--� [--� DEMOLISH <br /> INSTALL [ � REPAIR <br /> PROPOSED USE �--� ' aFR �-1 COMM F---1 oTHER <br /> TYPE OF CONSTRUCTION ' BLOCK �—1 FRAME �--1 STEEL <br /> BUILDING SIZE SQ FOOTAGE 4r-t HEIGHT <br /> F--�8U|LD|N� <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR[AL AMP SERVICE �--� PROGRESS ENERGY �—1 VY.R.E.C.$ 2-4 0L]=pLUMs(NG <br /> =MEOH8N)CAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ~~.~ V7 � =' ��/� <br /> / <br /> =GAG EY RoOF\No F—l � SPECIALTY �--� OTHER <br /> FINISHED FLOOR ELEVATIONS 07FLOOD ZONE AREA =YE8 NO <br /> BV/LDER COMPANY <br /> SIGNATURE nso/STEneo FEft CUnRsI� <br /> Address Lioynso# <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE nsoIcnsnso ` pEEE�o6nwcN <br /> Address ibblog ph. Lioonsa# <br /> PLUMBER <br /> Ilk- <br /> SIGNATURE <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE FEE CURREN <br /> Address Liconso# <br /> OTHER COMPANY <br /> SIGNATURE neo/��nso <br /> FEE CURREN ____' <br /> Address NAU PA 6&u License# <br /> xxxxx � mmxxnuxxuwmnunuxn 'mxunu �� xmumxxxuxmx � mxxxuxmm � uxxxxxDNVxoxnxxm <br /> RESIDENTIAL Attach U4 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 una\te.Cunotruo§on Plans,GUonnwmter Plans vl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;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 forniew construction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Pence installed, <br /> Sanitary Facilifies&1 dumoster.Site Work Permit for all new projects.All commercial require m* ents must meet compliance <br /> SIGN PERMIT Attaoh(2)sets oY Engineered Pliaoo. <br /> **°^PROPERTY SURVEY required for all NEW construction. ' <br /> Flit out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$osuu^a Notice pf Commencement|srequired. (VC upgrades over*75VV) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofsifshingles So*aro Service Upgrades A/C Fonoen(P|nVGumey/Footage') ` <br /> Driveways-Not over Counter ifon public modvayo..nuednROW <br /> . ^^ � <br /> � \ <br /> � \ ' <br />