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| <br /> ! <br /> � <br /> 313-780-0020 City o«ZepnyrDU\s Permit Application <br /> Building Department <br /> Date Received Phone Contact 813 2891 <br /> Owner's Name rLe'n Owner Phone Number <br /> Owner,s Address 1 4600 W.Cypress St.Ste.200,Tampa,FL 33607 Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS F3132 Nubbin Ridge Lane <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F.71 womcomsnR AoDmLT [---� n|Gw [--1 !` [--1 DEMOLISH <br /> [ ] INSTALL L-1 REPAIR / <br /> PROPOSED USE SFR COMM OTHER. <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> amily Residence/Pool Screen Enclosure Fence <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1 Story I <br /> V/ BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE <br /> MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION I <br /> =GAS ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES 0 <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> ELECTRICIAN COMPANY Edmonson Electric,li Inc. <br /> Address 11034 Skipper Road,Tamp-a, FL 34WM License# I EIC 13005408 <br /> PLUMBER COMPANY Bayonet Plumbing, keating &AC Inc <br /> SIGNATURE /Z REGISTERED Y/ N FEE CURREN LILN J <br /> ------- <br /> COMPANY =Bayonet Plumbing,-Oeating &A <br /> ucenoew OTHER COMPANY C Sterling Quality R,bofing, Inc <br /> Address 4211 Shoal Line Blvd, Spring Hill, FL 34607 License# FCc' <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new co�hstruction, <br /> Minimum ten(10)working days after submittal date, Required onsife,Construction Plans,Stormwa ter 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.,R-6-0 Permit for new construction. <br /> Minimum ten(10)working daysaftor submiftal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&I dumpotec Site Work Pennitlo,all new projects.All commercial requoementt must meet compliance <br /> SIGN PERMIT Attach(2)sets m Engineered Plans, <br /> ^°°PnopEnTv SURVEY required for all NEW construction, <br /> Owner&Contractor sign back of application,notarized, <br /> If over <br /> .$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone wiith notarized letter from own&I 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 public roadways..needs ROW <br /> Fill out application completely. <br /> ./ <br />