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Ully OT/-epnyrniiis Hermit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting L 813 363 2891 I <br /> L-1 <br /> Owner's Name Lennar Homes,LLC Owner Phone Number 813.574.5700 <br /> Owner's Address 4600 W.Cypress St.Ste,200,Tampa,FL 33607 Owner Phone Number <br /> Fee Simple Titleholder Name N/A Owner Phone Number <br /> Fee Simple Titleholder Address N/A <br /> ioB ADDRESS 3294 Moulden Hollow Drive, LOT g [0960 <br /> SUBDIVISION Hidden River Phase One B PARCEL ID# 24-26-21-0090-00000-0960 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE s y u SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK Single Family Residence/Pool/Screen Enclosure/Fence <br /> BUILDING SIZE I U/R SF 2276 SQ FOOTAGE[1� HEIGHT 1 Story <br /> m - M A <br /> rr <br /> ViBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE ® PROGRESSENERGY W.R.E.C. <br /> Y"PLUMBING 1$ <br /> J <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DO <br /> .. . . . . . . . . . . . . . P. . . . . . <br /> 'BUILDER COMPANY Lennar Homes,LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN�� <br /> Address <br /> 4600 W.Cypress St.Ste.200,Ta ,FL 33 License# CGC1518166 <br /> ' I <br /> ELECTRICIAN COMPANY Emonson Electric, Inc. <br /> SIGNATURE REGISTERED Y/ N 'FEE CURREN <br /> Address 1034 Skipper Road,Tampa, 33613 License# FCI 3005408 <br /> PLUMBER COMPANY JBayonet Plumbing, Heating & AC, Inc <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J <br /> Address P.O. Box 5308, Bayonet, FL 674-5 License# FCFC042998 <br /> MECHANICAL COMPANY Bayonet Plumbing, Heating & AC, Inc <br /> SIGNATURE R STERED Y/ N FEE CURREN Y/N <br /> Address P.O. Box 5308, Bayonet, FL 674-P8 License# I CAC058062 <br /> 7F I <br /> OTHER COMPANY �terling Quality Roofing, Inc <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 14211 Shoal Line Blvd, Spring II, FL 34607 , License# CCC057991 <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 onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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.RmO-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . 1-&4-1..16.4. . . . . . . . . . . . . . . . .. . . . <br /> Directions: <br /> Fill out application completely.- <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7600) <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 of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pub[' roadways..needs ROW <br /> � �. CMG <br /> -:r v <br />