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- '--' Lity of ZeohV[h|liS Permit Application Fa»813-780-0021 <br /> Building Department <br /> Date Received C <br /> == Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> RX- 4 Inc <br /> Owner's Address 3S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION |o# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mawcomsTn F7 AoO/ALT �--� SIGN �—� �—� DEMOLISH <br /> INSTALL [_� REPAIR <br /> PROPOSED USE F---1 GFR �—\ COMM �--� OTHER <br /> TYPE VFCONSTRUCTION F--�~ BU]CK T—� FRAME F--� STEEL F—� <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> F--lBU|�D|NG <br /> �--/ VA�UAToNOFTOT�L�Om�TRU��DN <br /> F--lELECTRCAL �--1 PROGRESS ENERGY [--1 YY.R.E.C. <br /> F--lPLUMBiNG <br /> T--lMECHAN\CAL LUAT|ONOpMECHAN|CA'\NSTALLAT|ON <br /> F--7G/VS [�r7 'ROOFING F—� � SPECIALTY F---1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED rEEc«nRE^ p0N] <br /> Audmeu License# <br /> ELECTRICIAN CO <br /> MPANY <br /> SIGNATURE nEa/sTsnso ` psEoonnE^ — <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE neo/arsnso Y N pEebunweN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE neo/orEnso ` rLounnEI\V <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE pEEounee` <br /> 4udresa License# <br /> CC- <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 nnoUo.Construction Plans Shzmnwate,Plans vl Slit Fence installed, <br /> Sanitary Facilities&1dumpstec Site Work Permit for oubdiviaiono8o»8eprojects _) <br /> COMMERCIAL AbachpD complete a�oof Building Plans�uaeLUeGa��Page;(1)s�gufEne�yF��m.R,O�w` armltfurne* 'constrocUpn. <br /> Minimum ten(1O)working days after submittal date. Required onoda.Construction Plans,Shznnvat r�idnav/Silt Fence installed, <br /> Sanitary Facilities Q1 dumpster.Site Work Permit for all new projects.All commercial requirbmentg rriust meet compliance <br /> a|aN PERMIT Attach(2)oeta of Engineered P\�nn. <br /> °°°°PROpEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> ownor&Contractor sign back of application,notarized <br /> If over$25oo'a Notice ofoom�nenoeme,uisrequired. (AIo upgrades over$750V) <br /> ~° Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingnomo <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Foncaa(P|ott8umey/Fnotago) <br /> Driveways-Not over Counter ifon public madvays..neadoROW <br /> / . <br /> __- <br />