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��1���� <br /> . ma�m*u� CUm��Zeohv�i\� PennKAopd�o�on <br /> . '. Building Department <br /> ` <br /> .Date Roe Phone Co <br /> vo " I " " " ° <br /> Owner's Name Lermar Homes,LLC Owner Phone Number <br /> 813.574.5700 <br /> Owner's Address 4600 W.Cypress St.Ste.200,Tampa,FL 3.3607 Owner Phone Number <br /> mwon` Phone Number <br /> FovSimp�T0munmo,Name <br /> Fee Simple Titleholder Address ) <br /> 139531 Dawson Chase Drive LOT# [0�2�5 ' <br /> JOB ADDRESS <br /> SUBDIVISION Hidden River Phase One B PARCEL D#F24-26-21-0100-00000-0250 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK <br /> PROPOSED NEW <br /> CONSTR <br /> ADD/ALT SIGN DEMOLISH.- <br /> /^m/xLL �_� REPAIR <br /> PROPOSED USE SFR ComM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK VingltFamily Residence Pool/Screen Enclosure Fence <br /> UIR IF <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I,( IBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ <br /> AMP SERVICE <br /> I,/ IP0NBING <br /> MECHANICAL VALUATION nF MECHANICAL INSTALLATION <br /> =G*S ROOFING �—1 SPECIALTY OTHER <br /> OTHsR <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA~� DYES D <br /> BUILDER COMPANY Lermar Homes,LLC <br /> Address License# <br /> ELECTRICIAN COMPANY =Edmonson Electric, Inc. <br /> SIGNATURE �FssConns <br /> or 4 <br /> Address 11034 SkigVer RoapXmpa, FL 33613 Licvnoa# <br /> PLUMBER COMPANY [Bayonet Plumbing, Heating &AC, Inc <br /> a|om4runE REGISTERED �L/ N *ssoonms^ L11 NLJ <br /> Address L!onnxa# <br /> MsonAm|oxL V COMPANY ' I Bayonet Plumbing, Heating &AC, Inc <br /> a|oN/TunE F REGISTERED .11 N ] pssoonma LYIN_J <br /> Address Lioonvn# <br /> mrxsm COMPANY I C Sterling Quality Roofing, Inc <br /> e|om/nVnE REGISTERED �Y/1N1 pseounwc^ L�//��� <br /> Address 14211 Shoal Lievd, Spring Hill, FL 34607 Licouoa# <br /> nuuunmxuxnunuxmxo,nnonxxxxxnxxxnxmuxuxmuIxxunmnmxnxonxmx .1omnnxnmowxn <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required nnuite.Construction Plans,8tonnwuter Plans wl Silt Fence installed, <br /> Sanitary Facilities&1gumpster;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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&.1uumpster.Site Work Permit for all new projects,All commercial requirements must meet compliance <br /> SIGN PERMIT. Attach(2)sets of Engineered Plans. <br /> **~PRoPsRr(SURYsY required for all NEW construction. <br /> ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> n over$oaoo.a Notice v,Commencement Is required. (wc upgrades over$7600) <br /> � Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from ownerauthorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) , <br /> RomnfsJshingles Sewers Service Upgrades A/C Fenoao(P|oVSumoy/Footaoe) <br /> D,ivpwayo'Nnt over Counter ifon public meu,mys'naedoROW <br />