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a�a-�ao-oo20 ' City of Ze hyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br />� Date Received Phone Co tact for Permittin oZ ' — 0 <br /> Owner's Name Owner Phone Number 1 — � 02 <br /> i <br /> Owner's Address �A Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number , <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS g � � LOT# r.� <br /> SUBDIVISION � I� /��K ARCEL ID# b - - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 DD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL EPAIR <br /> PROPOSED USE Q SFR Q � OMtill Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q RAME Q STEEL Q <br /> DESCRIPTION OF WORK -v Ov d S � t���r�� �� !�r�`/� <br /> 3o L�'S a/ <br /> BUILDING SIZE SQ FOOTAGE U HEIGHT G(/?e�l/� ��yr/� <br /> QBUILDING $ ` a VAL TION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP ERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ Q�� <br /> `� �I <br /> QMECHANICAL $ VAL ATION OF MECHANICAL INSTALLATION 'y` <br /> QGAS ROOFING Q PECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS LOOD ZONE AREA QYES NO <br /> BUILDER COMPANY C C� �`-'�-� <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <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 CURRE� Y/N <br /> Address License# <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 /> 11111111111111111111111111111 1111111111111111111111111111111111111 <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 ate. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pe it for subdivisionsAarge 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 ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 8 1 dumpster.Site Work Pe it 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 /> Direcdons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requi�ed. ( C upgrades over 37500) , <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 nly) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs R W <br />