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813-780-0020 City of Z phyrhilis Permit Application Fax-813-780-0021 <br /> Buflding Department <br /> Date Received <br /> Phone ontact for Permitting `5l Z�7 - �l v 3 0 <br /> Owner's Name (._��-� � � Z �� C Y����� Owner Phone Mumber "�6��' 7 �d r d C U v <br /> 9 /� <br /> Ourner's Addre�s � �3�t-f�v U H-`V� Owner Phone Number �����g U���� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS ����� S6t�..-� � LOT# � <br /> suBDIVISION �-�r p c� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOEtK PROPOSED e NSTALLSTR B REPAIR � SIGN Q Q DEMOLISH • <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> , <br /> _ DESCRIPTION OF WORK ����� �e�Ce �-' C..?Q,��� �� QQ � �' l Y�, �� ��- <br /> � <br /> BUILDING SIZE SQ FOOTAG ' HEIGHT <br /> OBUILDING $ �� D�� VA UATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AM SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � „� <br /> ��� <br /> QMECHANICAL $ VA UATION OF MECHANICAL INSTALLATION �l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO, <br /> BUILDER � COMPANY �� �� �_�C'^G� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��-� � 1��� 1"�1 ' Q�. ���1 � License# <br /> ELECTRICIAN COMPAfdY � � �i���/�1Cf�L- <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ����N• DN/� c! �,�z- License# �G � �d�/6 ��/ <br /> PLUMBER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> VMECHANICAL COMPANY <br /> SIGIdATUEtE 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 Pla s;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum,ten(10)working days after submitt I date. Required onslte,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work P rmit for subdivisions/large projects <br /> COMIMERCIAL Attach(3)complete sets of Building Plans_pl s a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submitt I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> � Sanitary Faci�ities&1 dumpster.Site Work P rm(t for all new projects.All commercial requirements must meet compliance <br /> SIGtd PERMIT Attach(2)sets of Engineered Plans. <br /> "°"PROPERTY SURVEY requi�ed for all NE construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. A/C upgrades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the ovm r)would 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 Fences(PIoUSurvey/Footage) <br /> Drivewrays-Not over Counter if on public roadways..needs OW <br />