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3 <br /> .s�3-�so-eo2o Ci of Ze h rhills Permit A lication �� �� ax-813-780-0021 <br /> tY p Y PP � l <br /> Building Department <br /> Date Received Phone Contact for Pertnittin � r� � '�'3� +� � -- � � �� <br /> T <br /> Owner's Name � FNN�7 �r/ES Owner Phone NumbE�r `�°� �����°;���D <br /> 337��v � <br /> Owner's Address �5550 �6�trwAVF J�Y1 •�2/a CLE�jvqrF/1 �. Owner Phone Numbar <br /> Fee Simple Titleholder Name � Owner Phone Numbsr �' <br /> �'n: a <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Q L 1/ trYl �,/Q,1� ZEp�yRt/��� ,, �G 3 „3 �57 � LOT # � <br /> SUBDIVISION ��LI5+N0 �fIl�/C PARCEL ID# �3' ��' ° Zl' ��� 3 � ° ODQO� ° �J� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NSTALLSTR 8 REPAIR � SIGN � � DEMOLISH <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OFCONSTRUCTION � BLOCK � FRAME O STEEL Q � <br /> DESCRIPTION OF WORK NFW CON<S'fRvCTrO/t/ "" ✓ O L�'/V'��Q /3/f�,°��S I ,� <br /> BUILDING SIZE SQ FOOTAGE 1 J�' HEIGHT C��'� T ; <br /> �'r't��– �, <br /> �BUILDING $��, G50 VALUATION OF TOTAL GONSTRUCTION <br /> �ELECTRICAL $ � L�O AMP SERVICE � PROGRESS Et�RGY � W.f'!�.0 <br /> 7 �: <br /> OPLUMBING $ ���, � <br /> �MECHANICAL $ � � �r VALUATION OF MECHANICAL INSTALLATlOPi ' <br /> J <br /> �GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS ��j FLOOD ZONE AREA QYES NO <br /> 0� <br /> ..�.�...�..�.�-��. <br /> BUILDER COMPANY ��NNqI�C /7DMj �S <br /> SIGNATURE REG�SrEREO Y/ N FEECUE�r+ Y!M <br /> Address /SSSo 46Nrw ✓f � a CcE�PN�it, �c.,� !o �;cer�e # CG C 1",s,�� f G�, � ; , <br /> ELE�'TRICIAN COMPANY O+ ��ECT/Q��.''r .-1+�!/' � • .'� <br /> SIGNATIJRE REGISTERED Y/ N FEE CUFtl�t� X/ N � <br /> Adaress /'03y .S'K1P1� a %A B , f� �3G/,3 l.icense # f� DOU -ZS �j $ { � <br /> PLU"n�FR COMPANY ��'P NJ P�'v`I✓,�J�/ ;f° ��� <br /> i <br /> SIGNATURE REGiSTERED Y/ N FEE CtN2FtEA Y/ PI � <br /> A.�I�+ �+3�7 y �� VJE1�J /=L- .� r License; # � �� J � ;�,� :,3 ;� —, <br /> ME���• COMPANY �ti;��N�T '� v'�lA�!/� h`E+9'7'r+�.'=:i�, �` �7'�.- <br /> SIG f '' �' E REGISTERED Y i N F'EE CURREA `✓ r N <br /> pa�.�. l'� D.�ox.s3o8 FrPo,wr � 3�`��' ���n�� CA�QS�r'D(o �.= i ;� ' <br /> oTN�n COMPANY � J'�`R�►a/b L�.�L�t ,Qa�a�� .�v�+• <br /> SI C '' � F RECISTERED Y/ N FEE CtNtliEN Y/ N <br /> r -S y��� sHoqL c.�r�E c.vo �SPR,ae flicc Fc 3i�'i � �rce�se # ��L— � DS'� 99',,f <br /> 111lIIIIIIII IIIIIIIIIIIIIIIIIIIIII1111lIllllilllllllt11f1111!l/ftlF <br /> RF ^� �� L AttaCh (2) Plot Plans; (2) sets of Bu+lding Plans; (1) set of Energy Forms; R-O-W Permit for new �ion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwrater Ptans w� g;lt Fer�ce ,,.zstaltec <br /> Sanitary FaciliNes 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COP^ ^^"^^� ^ L A*tach (3) complete sets of Building Plans plus a L'rfe Safery Page, (1) set of Energy Fortns. R-O-W Permk for new constr�,c6an <br /> Minimum ten (10) wortcing days after submittal date. Required onsite, Constructio� Ptans, Sta'rnHrater Plaris w/ Sitt Fence irss�led <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial req»iremer�ts must meet oom��ce � <br /> SI�^� M ���T Attach (2) sets of Engineered Plans. t <br /> ""PROPERTY SURVEY required for all NEW construction. ' <br /> �{..1., � q �LL ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ � s <br /> Dire <br /> F nnii�=tion completely � <br /> � :o� sign back of application, notarized <br /> ' .'Sn�, a Notice of Commencement is roquired. (A!C upgrades over S7500) <br /> '" r th�, contractor) or Power of Attomey (for the owner) would be someone with notanzed letter !�om owner authorizeng sam� <br /> OVE" nU�!'ER PERMITTING (Front of Application Only) <br /> Rer �� Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage� <br /> •ys-N�t over Counter if on public roadways..needs ROW <br />