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813-780-0020 Citvnf7ephvrhills Permit Application fa�U �7O0�V21 <br /> VO ra�« <br /> Building Department <br /> Phone Contact for Per <br /> Owner's Name 'E54 D(2t-I ENE-- V\P-(�62K Owner Phone Number <br /> Owner's Address LOS L1Arr-AWFEF-_PR,_ Owner Phone Number <br /> ,4'rwl lis FL, 3-35AID Owner Phone Number <br /> FL 1 ?;:�5 <br /> JOB ADDRESS F1-_zc)5 I_an(Ao0eP, bR, 7 r-?V%r4V%t'115 _ LOT# <br /> Susoxoo|om r*n^=`."° <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mnwcowsrx ADoo�LT �--1 SIGN [--1 F-7 DEMOLISH <br /> R INSTALL R <br /> RER*|n <br /> PROPOSED USE �--| 8Fn �—1 COMM �--� OTHER <br /> TYPE OFCONSTRUCTION [--� BLOCK F—| FRAMs �--� STEEL F--1 <br /> BUILDING SIZE SO FOOTAGE HEIGHTF_ I <br /> =oU|LD|wG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTn|C8L AMP SERVICE [--� DUKE ENERGY �--1 VV.R.E,C. <br /> [__]PLUMBING <br /> [--l��CH*m|��L VALU8T0NOP MECHANICAL|NSTKLLaT0N <br /> �� <br /> =G*S �--1 ROOFING �—1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . <br /> BUILDER 4��,]yOCOMPANY '3acKV1IC-N9';'r_onS-i- A fninOlvll <br /> ELECTRICIAN COMPANY <br /> Address License# <br /> PLUMBER COMPANY <br /> Ad dress License# <br /> MECHANICAL COMPANY <br /> OT HER COMPANY <br /> Ad�,�� License <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans; (1)set uf Energy Forms; R-O4wPermit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1o)working days after submittal date. Required nnsne.Construction Plans,atormwator Plans vw Silt Fence installed, <br /> Sanitary Facilities&1domps»er.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(z)sets of Engineered Plans. <br /> ^~~PR0PERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back u[application,notarized <br /> |f over$2soo.a Notice mf Commencement iorequired. (A/o upgrades over$rso$) <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 nf contract required) <br /> RomNfsUshingles Sowers Service Upgrades A/C Fmnces(P|ouGuwey/Footago) <br /> Driveways-Not over Counter|fon public madwoyo..nemdaROW <br />