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_� ��3-�o-oozo City of Ze hyrhills Permit Application Fax-813-780-0021 � <br /> Building Department <br /> Date Received � Phone Co tact for Permitting p b.7 � — �0� I <br /> Owner's Name e1�eG re�-E I I 1,07?�t(,� �jn�, Owner Phone Number <br /> Owner's Address � Q-!` �'L� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� 1 �I I /V L—^/Q� �La � LOT# � <br /> SUBDIVISION //�/�' �,5 P CEL ID# D� � �.� Doc�� ���}Q� �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR A D/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL R PAIR <br /> PROPOSED USE SFR Q C MM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q F ME 0 STEEL Q <br /> DESCRIPTION OF WORK �✓C L�R"N C�� B Z� PG� /�� � <br /> i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUA ION OF TOTAL CONSTRUCTION <br />� �ELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ��/ <br /> � � <br /> OMECHANICAL $ �� �6� VALUA ION OF MECHANICAL INSTALLATION (/ / <br /> � �� <br /> OGAS Q ROOFING Q SP CIALTY 0 OTHER �f� <br /> I <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 CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL i'�.,�� � COMPANY �l��iC S /"�A'/1I� 'r ��L' �G <br /> SIGNATURE ��`^"�'"— � EGISTERED Y/ N FEE CURRE� Y/N <br /> Address ���� � � , ��j/ � o��� License# l�l`�������� <br /> OTHER OMPANY <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 subdivisionsAarge 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 Power of Attomey(for the owner)woul 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 Fenc s(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />