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8�s-�so-oozo City of Z��hyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin t4/3 '��� _ s �.z <br /> r <br /> Owner's Name �GU/✓ /�, (J C' � Owner Phone Number <br /> Owner's Address ��65� %�J/�� ,(� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS lv� �j9�iG /2- r� �,+� ; � LOT# C� <br /> SUBDIVISION PARCEL ID# 35 a�� —a I — GG /O � //S'p� ._ U o o O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED � NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 7' L 3 /2 / L. �G�C� F��/✓G�� <br /> e '/ � <br /> BUILDING SIZE SQ FOOTAGE a G'� HEIGHT 7" <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> /, Gov� � G <br /> QELECTRICAL $ � AMP SERViCE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j���� <br /> QGAS � � <br /> Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER / , � ��� COMPANY /'I� d ��NCfs� G'C7 /�../ � <br /> SIGNATURE �.�J REGISTERED / N FEE CURRE� �) <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address Ucense# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciNties&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 constructlon. <br /> Directlons: <br /> Fill out applicaUon completely. <br /> Ovmer&Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement(s required. (A/C upgradea over 57500) <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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />