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� <br /> a�aaso-oo2o City of Ze hyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> Date Received� ° � Phone Co tact for Permitting <br /> r - <br /> Owner's Name � {� � t Owner Phone Number �` 3��/F�� <br /> Owner's Address °1 o So G a I� �l v d Owner Phone Number <br /> Fee Simple Titleholder Name ,� Owner Phone Number <br /> � r� <br /> Fee Simple Titleholder Address �� ' �7 y� <br /> JOB ADDRESS ���`�" ►JQu 1 W LOT# � <br /> SUBDIVISION P CEL ID# J� 'Z'— QUI� — 12���� ���o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B A D/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL R PAIR <br /> PROPOSED USE Q SFR Q C MM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q <br /> DESCRIPTION OF WORK ' ' <br /> BUILDING SIZE SQ FOOTAGE O(V HEIGHT <br /> QBUILDING $ �. VALU TION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP ERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALU TION OF MECHANICAL INSTALLATION �� � Z( <br /> QGAS Q ROOFING Q S ECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO <br /> BUILDER COMPANY V �p� � �ia <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� License# c,.t��/Jr� �p <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY ���. L•pa�24� � <br /> Ci, <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address ��O �J License# F!� f7 °� �p <br /> M ECHANICAL COM PANY <br /> SIGfVATURE 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 Building Plans;( )set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> - - - -Sanitary Facilities&-1 dumpster;Site Work Permi for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permi 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 nstruction. <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)w uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onl ) <br /> Reroofs if shingles Sewers Service Upgrades A/C F nces(Plot/Survey/Footage) " <br /> Driveways-Not over Counter if on putilicroadways.:needs RO � <br /> - _., {s �_ ' „ ._. '. ., - � __ -_._ - ....----- ...,..;. <br /> � � , .:,.,., .., �,._, _ „ :ji .�.'., „ • `,.. <br />