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s�s-7so-oozo City of Ze hyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Reccived' 9 g'�3 ��Z_ �b`� <br /> Phone C ntact for Permittin <br /> Owner's Name o? L "O �j �j � Owner Phone Number g�^3 ` ��'—,jo��d <br /> Owner's Address ��� � T �L� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS ����� /'�ID?27'-H 1J ` ' ' ��P� !2/�iL �or# � <br /> SUBDIVISION P CEL ID# (�� �(p �� D6 CLO ���D D`� <br /> -- - - -- - - ° - ---- -- ------ ---- - - '- ---- '— (OSTAiFfED PROM PROPERTYTAX�YOTICE) - -- --'--- --— _ -- <br /> WORK PROPOSED B NEW CONSTR� A D/ALT � SIGN Q Q DEMOLISH <br /> INSTALL R PAIR <br /> PROPOSED USE Q SFR Q C e/1M � �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME 0 STEEL Q <br /> DESCRIPTION OF WORK � C G�/�'��'� GGG�-T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUA ION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> OPLUMBING $ <br /> OMECHANICAL $� VALUA ION OF MECHANICAL INSTALLATION ' <br /> ��� � <br /> QGAS Q ROOFING Q SP CIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL /��r�'�,, � COMPANY R�/e ,S�/Y, i¢/�J 1��/L� �—T�L <br /> SIGNATURE !�-�/n� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��U ��J� � <br /> OTHER COMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et 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 Facilities&1 dumpster;Site Work Permit f r subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lif 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 Facilities&1 dumpster.Site Work Permit f r 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 cons ction. <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 u rades over$7500) � - _ <br /> " Agent(for the contractor)or Povirer of Attomey(for the owner)woul be someone with notarized letter ftom ouvner authorizing.same - � � <br /> OVER THE COUNTER PERMITTING (Front'of Application Only) � • - "' <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fen s(Pibt/Survey/Footage) . _ _ . <br /> •. „ <br /> Driveways-Not over Counter if on publio roadways..needs ROW ` ' <br />