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' '--- LIty of Zeohvrh\lls Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received F_ Z-(" Phone Contact for Permitting <br /> Owners— Name <br /> 7—Owner Phone Number <br /> Fee Simple T�ehu\uurNamo �wovrpbpne�umho� <br /> Fee Simple Titleholder Address <br /> JOB ADouBaa mn <br /> SUBDIVISION Io# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wowcomrm F7 8DD8\[r F---1 S\GN F—� F--\ DEMOLISH <br /> INSTALL [_] REPAIR <br /> PROPOSED USE �--) GFR �—\ COMM �--1 OTHER <br /> TYPE DFCONSTRUCTION BLOCK �—1 FRAME �--� STEEL F--� <br /> DESCRIPTION opWORK <br /> BUILDING SIZE HEIGHT <br /> . . <br /> �—��UiLD|N� <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> �—�ELECTR\C�L AMP �--} PROGRESS �—1 YY.R.E.C. <br /> ��� <br /> | |PLUMB|NG <br /> = <br /> K�ECHAN|�AL f <br /> EGHAN|O�LlNGT�LLAT!ON . <br /> F--loAa L�� ROOFING �—� � SPECIALTY OTHER <br /> {THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BVlLoBm C OMPANY <br /> ` <br /> SIGNATURE ns� �smsu REGISTEREDFEsounREx L N <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE neamrseso ` pEtconnsN <br /> — �--�—�---- <br /> Address <br /> PLUMBER F COMPANY <br /> SIGNATURE nso/msnso <br /> . <br /> Address Licenoo# <br /> MECHANICAL COMPANY <br /> SIGNATURE F nsa/STEnso <br /> uudrma <br /> OTHER COMPANY <br /> SIGNATURE neo|���so '�— YIN —1 <br /> FEE CURREN <br /> x ddmua Licnnno# I cc <br /> RESIDENTIAL Attach(3)Plot P\ano;'(2)sets of Building Plans;(1)set nf Energy Forms;R-O4Y Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsihn.Construction P|an.s,Shamnwater Plans v/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects _} �Y. <br /> COMMERCIAL A��ohpq complete oo�nfB�|ding Plans plus oLde So��Pa�a�(1)set ofEna�yF��o.F-Oparmit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onmite.Construction Plans,Stormwater Plans vlSi|t Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(l)sets nf Engineered P|itna. <br /> °°°+PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contracior sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> � Agent(for the contractor)or Power ufAbomo�(for the o*ner)would be someone��ihn�adzed|eUor� �from same <br /> OVER THE COUNTER PERMITTING (copy ofoon��otmquired) <br /> Renoofsifshingles Severs Service Upgrades A/C Fanuna(P|nt/Sumey/Footago) . <br /> Driveways-Not over Counter ifon public madvays.,needuROW <br /> / . <br /> ' <br />