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` <br /> 03-780-0020 ` City OfZeohV[hiliS Permit Application Fux-u 3-7u0-0021 <br /> Building Department <br /> . NOV � 0 ���� <br /> ' ��n ww ��~p . <br /> Date Received Phone Contact for Permitting L 1 13 363 2891 <br /> r"1771 a a I a a I ... I I I I 9J :a, 813.574.5700- - - - - - <br /> Owne'r's Name Owner Phone Num I. <br /> Owner's Address 1 4600 W.Cypress St.Ste.200,Tampa,FL 33607 Owner Phone Number <br /> pere,SimpleTitleholder Name I Owner Phone Nu muo, <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F2955 Moulden Hollow DriveLoTw <br /> mueowm|om PARcsLm# 25-26-21-0100-00000-0580 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED me*oowsrn ADo64LT �--1 SIGN �—� F—� DEMOLISH <br /> INSTALL [_1 REPAIR <br /> PROPOSED USE Spn �-� COMM �--� OTHER <br /> TYPE opCONSTRUCTION ou�oK F—1 Fnx�� �--1 STEEL <br /> `—� �--~ �—� <br /> DESCRIPTION orWORK Single Family Residence Pool/Screen Enclosure/FenceMECHANICALBUILDING SIZE FT/R SF 2,��&W31J_-SQ FOOTAGE HEIGHT 1 Story <br /> 013UILDING $("�P.� VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE <br /> VALUATION.. ..E~...,.~ L.`~. L...~.` - <br /> ROOFING F�} SPECIALTY OTHER <br /> oTHER <br /> El__- D <br /> ` FINISHED FLOOR ELEVATIONS ~ <br /> SIGNATUREBUILDE COMPANY <br /> - REGISTERED FEE CURREN <br /> AddressUuenoo# <br /> sLEoTmxnAm COMPANY Edirrionson Electric, Inc. <br /> o|omArueE REGISTERED YJ J FEEouwws L_y LN__j <br /> Add1730705408 <br /> ressUmmoo# <br /> pLuMosR COMPANY Bayonet Plumbing,.Heating &AC, Inc <br /> m|�Nx�u�� L��_�_J pssouxnsx L��N_� <br /> AddressP06 . . — <br /> License# <br /> MECHANICAL <br /> a|Gm/TuRs F REGISTERED Y/_N_J pss»un*sK <br /> Address U��o# <br /> OTHER COMPANY C Sterling Quality Roofing, Inc <br /> o|Gm/TunE F R EGISTERED �L��_�_� pssounmm� L_Y/N_� <br /> Address ummno# <br /> x n I'll o m x x m x 1.1 m x x m uq x n m u'x u x x x u x x m ox n m x x m n <br /> RESIDENTIAL /�aokp0Pxx Plans;pVoe�nf Building Plans;(1)set uyEnv�y Forms;R'O4m Permit for uowconstruction, <br /> Minimum ten(10)working days after-submittal date. Required unouo.Construction Plans,Gmnnwmter Plans v/Silt Fence installed, <br /> Sunita Fuci\iUanu1dumpmar;aiteworkPemoitfuroubmmoionemorgapoUanm <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. RequimUonoNa'ConstmnUonP|aho.StonnvnaterPlunoyWSiltFonneinotaUed. <br /> Sanitary Facilities&Idumpomc Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT ' Attach pV sets of Engineered Plans. <br /> ****PROPERTY SURVEY required.for all NEW construction. <br /> Fill out application completely. <br /> Owner&,Contractor sign back of application,notarized <br /> If over$usoo,a Notice p,Commencement isrequired. Kvo upgrades over$7suu> <br /> � Agent(for the contractor)ur Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy w contract required) <br /> Ram,fs if shingles Sewers Service Upgrades A/C Feoceu(PlmtSunvey/FootaUe) <br /> onvoWayo-Not over Counter ifnn public maUwayo..newuoROW <br />