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; ' a�,saao-oo20 _ City of Ze hyrhills Permit Application . _ . _.. FaX_a�saso-oo2� , - Building Department � � Date Received � Ji /J ' phone Co tact for Permitting - - -rrrrr'rrr - �-i-�-� _. � . . .. ... --..... ., .. , � Owner's Name S � Owner Phone Number �� - 3�' � � � � Owner's Address CA1'�� - C_Lf,(.t 1re cL 1 ��`f Q�V� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS La`I- �- D L�LLt-►°e� UCL` � �d� 2�j jS� ' LOT# � � SUBDIVISION // `�L �L°S T� G V G�I�S P RCEL ID# � ''. " °?�-a L.c�� d UJ Q�� U (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e A D/ALT 0 SIGN 0 Q DEMOLISH INSTALL PAIR PROPOSED USE � SFR Q MM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q DESCRIPTION OF WORK u o r'f-"- 2v� l!l [� i� S{'��O� ��✓tC r��e BUILDING SIZE I 3 x 3 � SQ FOOTAGE �� HEIGHT �� "TTI"ITTrTTfI"1"I�TT�TI�IT rl'T'TI"TTrTT�ITi�TrT1Tr�TrTT�P' �BUILDING $ �o o � � VALU TION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP ERVICE 0 PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ pf�� ('� �""" rC��' �v � -� OMECHANICAL $ VALU TION OF MECHANICAL INSTALLATION OGAS 0 ROOFING Q PECIALTY 0 OTHER �`�� FINISHED FLOOR ELEVATIONS LOOD ZONE AREA DYES �O�i -�-�-F-f-f-��f-1--1-1--I-H�-f-f--1--F-1-f-1--E-H�1-1- 1--1--F-F-1-1--1--1-1--{�-1-1--1-1--H�H�1--f-HF-1-H-1-1--E-�F-F-1-1--1-HI- BUILDER /�� /�/�/J ' � o�., COMPANY SU,N.5��t I� �L�� n SIGNATURE ��2C° REGISTERED Y/ N FEE CURREN �Gl� ,_ Address �P �� "( �r"� I�j K f'�. Z�j ��S L License L G � ��S ` d3.i 4}- ELECTRICIAN /�!'�� ' n e COMPANY O�`� � I Pc /�[ G SIGNATURE v REGISTERED Y/ N FEE CURREN Y/N Address �j��'�'J 5 � 7 2 - �. /-h� 1�S �C, License#. �` , �4�� s y 34 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL /�_"_ _ J �� ~ COMPANY Q!�r5 {'rC � P� A.h� SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 7�� l �1°J'f � 26l(�t L S 5� � License# C�,��3 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# IIIIIIIIIIIIIIIIIflllllll 'tllllllllllllllllllltlllllllltllt911111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Pe it for subdivisions/large projects 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. Minimum ten(10)working days after submittal ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Pe it for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. '**'PROPERTY SURVEY required for all NE construction. ..4a-1.��f-1.�1-f..1..4.4-1-1-�a-I..L.�1..1-4-i--{-{-1--1-1.-f-1-Y-�1--1..1..4-1--�-f-1-�L..1-�1--1-{••��1..{..�-f--L-f-I..�I.��L.i-�f.�f-I..f..L-1- Directions: I Fill out application completely. Owner&Contractor sign back of application,notarized. If over$2500,a Notice of Commencement is required. ( C upgrades over$7500) ** Agent(for the contractor)or Power of Attomey(for the owner would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application nly) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs R W