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uityotZephV[hil\� Permit Application ' Fax-813-780-0 <br /> Building DepartmentDate Received Phone Contact for Permitting (A-Slo e_CAuc_\) com <br /> 111IF-T-1-T-112 all affs as <br /> Owner's Name _b nr- owner Phone Number <br /> Owner's Address co m 'py- J-a Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ' <br /> SUBDIVISION PARoELUD# <br /> . (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED momcowarx F7 ADo0\LT [---1 SIGN F--1 �—� DEMOLISH <br /> E5 INSTALL [__J REPAIR <br /> PROPOSED USE = oFR F-� COMM F---1 oTHER <br /> TYPE OF CONSTRUCTION F��;� BLOCK �—1 FRAME �---1 GTEEL F--1 <br /> BUILDING SIZE F_ SQ FOOTAGE R HEIGHT <br /> F--7�U|LD|N� <br /> �--^ VALUATION OF TOTAL CONSTRUCTION <br /> F--7ELECTR|[x�L �M�Gs�V|oE �--1 PROGRESS F--1 YY.R.E.C. <br /> ��� �� <br /> F--7PLU a|No � xy <br /> F--lMEnMANkCAL 1$ 5- C><�4) VALUATION OF MECHANICAL INSTALLATION <br /> ,__°� . <br /> ' F--�o�a L_�] ROOFING F-� SPECIALTY [---� DTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Bu|LDER COMPANY <br /> SIGNATURE n�o/srsm�o <br /> Address Licenvo# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE neo/arsnso <br /> Address License# <br /> PLUMBER C064NY <br /> SIGNATURE nsG/orsnso <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> Address Lioanoe# <br /> OTHER COMPANY <br /> SIGNATURE ��/srsnso <br /> ' ------- FEE CURREN ------' <br /> xudrews ma Unonno# <br /> xxum � mxuuxxoxw » KuoxxnNm`mxnxx �� m � � xxxxxVmmxnxxxK � mwnxxxxU � xnnxnnUmmo <br /> RESIDENTIAL Attach(4 Plot Plans;p4 sets of Building Plans;(1)set of Energy Forms;R+]4Y Permit for new construction, <br /> Minimum ten(1U)wmddng 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 onuUn.Construction Plans,otormvater Plans v/Silt Fence installed, <br /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(c)sets of Engineered Kans. <br /> "°°PHDPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized . <br /> If over$u5uo^a Notice of Commencement iorequired. (/Vc upgrades over$75VO) <br /> ^° Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) ` <br /> Ramofs}fshingles Sewers Service Upgrades A/C Fonneo(P|ottSuwey/Footogo) <br /> Driveways-Not over Counter ifon public modwoys.onednROW <br />