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s�s-�so-ooao City of Ze hyrhills Permit Application Fax-813-780-0021 <br /> B�iiding Department <br /> ` A (`,h r��S s�.-< <br /> Date Received Phone Co tact for Permitting ����� ��ry - ���d� <br /> � <br /> Owner's Name �h� � � j �^ ` Owner Phane Number o���� r���- �5 <br /> Owner's Address �� � '"�� ��f�Owner�hone Number �— � <br /> `,." <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Yitleholder Address °' - <br /> JOB ADDRESS �� ' !�-FC.. IJ fl ! PL 3'�sLI LOT# � <br /> SUBDIVISION EfYI+�'ald �1�Oj(1�e��U r?�� P RCEL ID# ,��-1 � �c�-a f - Ooao - �7�Z7`� b�,ti�O <br /> {OBTAINED FROM FROPERTY TAX NOTECE) <br /> WORK PROPOSED � NEW CONSTR e A D/ALT � . SIGN Q Q DEMOLISH <br /> INSTALL R PAIR <br /> PROPOSED USE Q SFR Q C MM _� � OTHER rnp i ie e <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q <br /> DESCRIPTIdN OF WORK �'� I QCP � 1 Y1 �( ��j''i�?j� r L(,V� p�{, <br /> BUILDING SIZE �I� � e7� t � SQ FOOTAGE y6 / HEIGHT C_____� <br /> Q BUILDING $ ;� � , D��� VALU TION OF TOTAL CONSTRUCTION <br /> QELECTRICAL ��j.� � AMP S RVICE �� Q PROGRESS ENERGY � W.R.E.C. <br />�� l..r <br /> QPLUMBING $ � <br /> .,,,�� ����� <br /> QMEGHANICAL $ � � --- VALU TION OF MECHANICAL WSTALLATION <br /> � �., <br /> QGAS Q ROOFING [� S ECIALTY [� OTHER <br /> FINlSHED FlOOR ELEVATIONS �-----� F QOD ZQNE AF2EA QYES NO <br /> BUILDER � �. COMPANY �1 Ct-Yv Y�'?D{'J�I�,', �PY1 N � I nG <br /> Bt�NATURE C REGtSTERE(3 Y I P) FEE CUi?RE{� Y J N <br /> � , , <br /> Address 1�Da� S y'�� �u*�rneo"'�i'elC(, 3N`l / �icense# ���J���t°�� � <br /> � �r .,,,Icx.n �DU3°� ��+e[r�'n.G <br /> '� ' E�L CTRICIAN �.� � COMPANY <br /> , SICs��TU� REGISTERED Y 1 IV FEE CURREh Y J 3�I <br /> �� Address c� �vl� $ ''°� L �r,,�' /�--3N�7� �icense# ��"�'30L)/�`�� <br /> � ., � ., � . <br /> PLUMBER ����� ,�� � COMPANY F�i�Gtc'V-el. Yti"lp�j'tl� H'oMC IlG <br /> SIGNATIlRE l� REGISTERELI Y 1 3�I FEE CURRER Y 1 N <br /> I Address �30� S � m e l�- �L� � License# 17j ��������-/ I <br /> MECHANICAL COMPANY � <br /> SIGNATURE R��IS�EREa 1 N FE�cuRREn Y 1 N <br /> Address License# �� � <br /> OTHER j'�/? �_ � COMPANY N( �—•� '� <br /> SIGNATURE r REGISTERED Y 1 N FEE CURRER Y J N I <br /> ( Address License# � � <br /> IIIIIItItlIIIllililt [ tltllltlillllllill [ IE [ ilII1111ii11lltliii111ti <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets ofi Building Plans;(1)set of Energy Forms;R-O-VU Permit for na�v cons#ruc;�on, - -_ <br /> Minimum ten(10)working days after submittal da . Required onsite,Construction P{ans,Stormwafer Pians w/SiSt Fence instaHed, <br /> Sanitary Facilities&1 dumpster;Site Work Permi for subdivisionsllarge projec#s <br /> COMM�RCIAL 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 . Required onsite,Construction Plans,Starmwater Pians w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wark Permi for all new prajects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PR4PERTY SURVEY required for all NEW co struction. <br /> . . . . . . . . . . . . . . . . . .�,,...�,�,:..�^ <br /> Directions: � <br /> Fill aut application completely <br /> Owner&Contractor sign back of application,no#arized <br /> lf aver$250Q,a Notice of Commencement is required. (A/C pgrades over$7500) <br /> *' Agent(for the cantractor)or Power of A#torney(for the awner}w uld be someone with notarized letter from owner authorizing same <br /> QVER THE COUNTER PERMITTING (Frant of Applicatian Onl ; <br /> Reroofs if shingles Sewers Senrice Upgrades AJC F nces{P1ot/Survey/Foatage} <br /> i Driveways-Nof aver Counter iE on public roadways..needs RQW <br />