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- <br /> 813-780-0020 Cdvof�eohvrhi\|oP�[nl�4op\k��t�O Fu»» @�»»�0� <br /> .� __,..'... Application- | <br /> ' . Building Department <br /> Date Received Phone Contact for Permitting 363 2891 <br /> Owners Name Owner Phone Number <br /> Owner's Address 4600 ress FL 33607 Owner p hone Number <br /> Fee Simple Titleholder Name Owner Phone Number- <br /> Fee Simple Titleholder Add <br /> xoaxoo��amil ��'* <br /> 10090 <br /> auoo|wS|om Silverado Ranch Subdivision Ph 2,3,&4vAmnEL|o# 05-26-21-0080-00600-0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW comsrx ADD6«LT [---1 S|GN �--1 �—� DEMOLISH <br /> P INSTALL [_] REPAIR <br /> PROPOSED USE opn F-� COMM [---1 oTHen <br /> TYPE opCONSTRUCTION ouo�K �—} �n�m� [---1 oTs�� <br /> oo�v ^—� `---^ �—� <br /> DESCRIPTION oFWORK Single Family Residence Pool/Screen Enclosure/Fence <br /> BUILDING SIZE So FOOTAGE L���� J HEIGHT <br /> |uU|uo|NG VALUATION OF TOTAL CONSTRUCTION <br /> �-_�s�soT�|��� ��-� PPoons��smsR�v [-� vvn�� <br /> �� V �^�_. � � . � <br /> �-� AMP SERVICE <br /> �� UpLuma/wo <br /> ���� <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION ' [` ��� <br /> � <br /> =Gxa nonRmo F—1 SPECIALTY OTHER <br /> oT*ER <br /> R �� Do <br /> FLOOD DYES o <br /> � � | |` <br /> ou|Lose <br /> SIGNATURE REGISTERED Y/_x ] Fssouunsx <br /> Address 20 Ucenua# <br /> sLeoTno|xm COMPANY Edmonson Electric, Inc. <br /> SIGNATURE REGISTERED Y/_N_] pcsuunnsN L_Y2N_] <br /> Aduomoa 11034 Skipper Road,Tampa, FL 33613 Ucenon# <br /> PLUMBER COMPANY 113ayonet PIUMbing, Heating &AC, Inc <br /> SIGNATURE REGISTERED Y/ N ] pssounnsx L_L��_] <br /> Address License# <br /> MEoxxm|oAL COMPANY [��ayonet PIUMbing, Heating &AC, Inc <br /> SIGNATURE REGISTERED Y/ NJ pssouensx L_2L/_� <br /> Address ucenoo# <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED [_Y/ N_] FEEoumnsN LILN__J <br /> Address 14211 Shoal Line Blvd, SpAg Hill, FL 346 Licanne# <br /> RESIDENTIAL Attach V4 Plot Plans;(2)uom of Building Plans;(1)oo$of Energy runna;R.O-W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required unuUe.Construction Plans,Gmnnwoter Plans v/Slit Fence installed, <br /> Sanitary Facilities&1dumputer;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Auuoo(2)complete sets of Building Plans plus e Life Safety Page;(1)set of Energy Forms.R.O4w Permit for new construction. <br /> Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities m1dumpxter.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach;4 sets m(Engineered Plans. <br /> "=PROPsRTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> n over$csmo,a Notice ur Commencement isrequired. (Ao upgrades over$7oun) <br /> ^° Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy o[contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fannou(P|uUSuwey/FumtaAo) <br /> Driveways-Not over Counter if on public roadways..needs nOVV <br />