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813 - 780 -0020 City of Ze h rhills Permit Application 1 Fax -813- 780 -0021 <br /> Y P Y Pp I U l <br /> Building Department <br /> g <br /> f d <br /> Date Received ' 331> /�/ �4 7 <br /> r Phone Contact for Permitting �'i Z <br /> 1 1 1 1 1 1 1 1 // 1 1 1 1 1 <br /> Owner's Name Y((" � ' axis. , 1 LL C Owner Phone Number <br /> a_ <br /> Owner's Address '� a 80 433 Owner Phone Number <br /> Fee Simple Titleholder Name g/.`} - 7' / /45 Owner Phone Number <br /> ! t/ 1 f <br /> Fee Simple Titleholder Address p� 041-04 <br /> JOB ADDRESS (c2/2 �',�" Y %�(A Dc O s- /of LOT # <br /> SUBDIVISION S ! /f■C/ ` VJf ( ieit. PARCEL ID# 0-.3 — (- o9Qo " X,iQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR u ADD /ALT SIGN n I DEMOLISH <br /> INSTALL n REP IR <br /> PROPOSED USE I SFR 14 COM I I OTHER 16 I <br /> TYPE OF CONSTRUCTION n BLOCK ri FRAME STEEL I I I <br /> l <br /> DESCRIPTION OF WORK 814 ` d 7J- er 07Kce (ids Ce eart <br /> BUILDING SIZE SQ FOOTAGE ,(J7PJ HEIGHT / "I6 <br /> — (BUILDING $ 3 VALUATION OF TOTAL CONSTRUCTION <br /> IIELECTRICAL $ AMP SERVICE /S6 PROGRESS ENERGY 1T W.R.E.C. <br /> I (PLUMBING $ <br /> U Mc- 4 Ffi' <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 40/10 <br /> T I] ROOFING n SPECIALTY ( I OTHER 03Ce' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> -1-14-1-1-1-1-14-1-44-1-44-11111111 1 1 1 1 1 1 11 i1111111J1111111111111 11 11 11 " 11 <br /> BUILDER COMPANY I• C, <br /> 1 41/ 4j// ref /...--(r.. <br /> SIGNATURE .00 REGISTERED 1 Y/ N -I F CURREN Y/ N <br /> - �' ePe / 2 �2G7a - <br /> Address �z�n v i Li cense # <br /> 4/ <br /> /o <br /> AIIM <br /> ELECTRICIAN WM% ` , COMPANY ( �5t - l�S (t, /eclr1 h'' � 3 / SIGNATURE / bi REGISTERED I Y / N I FEE CURREN I Y / N <br /> Address <br /> J / / V d License # EC "- i 57O <br /> PLUMBER / '0 COMPANY Cp 16 114 ' /4 PS q‘,. 2'7 L 5 • SIGNATURE �� �' ��1 REGISTERED I Y / N 'FEE CURREI ' P Y / N <br /> la <br /> Address f ' ` ' I' r License # 6F6 I y,2 6 3/3 <br /> MECHANICAL •, OMPA <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> License # <br /> 11111111111111111111111111111111111111 <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 (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new constriction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instauea, <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 /> ** *PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />