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".^,'""-='/_" City DfZeohV[hi\ls Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ermitting <br /> 2_0 Phone Contact for P <br /> Owner Phone Number (0 <br /> Owner's Name Hx_-�z Inc- <br /> Owner's Address o, 3S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E� INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK CQ ni&A <br /> 7W 7-'S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT ' <br /> "BUILDING VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRCAL AMP SERVICE �--| PROGREGGENERGY �--1 VKR-E.C. <br /> Cob <br /> =PLUMB|NG <br /> r� �� <br /> '_ <br /> e� � � ~ <br /> =MECHANkCAL VALUATION OF MECHANICAL|NGTALLATON . <br /> =QAa F�7 ROOFING SPECIALTY [ ] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEo. NO <br /> BUILDER COMPANY <br /> SIGNATURE nsoaneneo L_l/_N_] 'EEcvxmEN L_y LN_J <br /> Address License# <br /> ELECTRIC COMPANY <br /> 3|mNATURE xso/urEpEo L_l�_K �_J ���cvxx L_Y/ �� <br /> Address SO4V4 uoome# <br /> ,LUMBER COMPANY <br /> BGNATURE REGISTERED L��� pssnunRE^ LYIN � <br /> Address License# <br /> AsoMmv|CAL ooMpxwY <br /> yommnRE REGISTERED ` LV _N ptECUxnsN» LY/N � <br /> Address License# <br /> JTHER COMPANY "r C_b6A '�N -& I;|GNATURE msom/snEo L_l/_N_J pssnuwns^ <br /> cc i's <br /> A ddress Ummno# <br /> x x x x m 1 11 x m x n u x u u m x x x u 1 m 01 x x m 1\1J1 n u m m x u n x m a n x u w m n u x x K u x x x m m n x x m m x x x o m <br /> mEm|oENT|AL Attach(2)Plot Plans;'(2)sets of Building Plans;(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&I dumpster;Site Work Permit for subdivisionsllarge projects <br /> ,OMMERC|AL Attach(2)complete sets of Building Plans plus oLife Safety Page;(1)set of Energy Forms.F-{-W Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onsdo.Construction Plans,Stonnwmher Plans y/SJtFence inn�Wod. <br /> Sanitary Fa�|\0en&1dumpa�r.Site VYorkPermit for all new pnVo��.All onmmeoia|raqu|nomon�must meet compliance <br /> UGNPERN|T Attach(2)sets of Engineered Plans. <br /> °°**PROPERTy SURVEY required for ail NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over*zsoV.a Notice ut Commencement iorequired. (AC upgrades over$7500) <br /> ^ AQent(forthecontoctor)nrPuvnerufAttomn�(fordhomxmor)wmu|dbeaomaono*ithnotyhoed|eMer from owner authorizing same <br /> n/sm THE COUNTER PERMITTING (copy of contract required) <br /> mmofs if shingles 8owero Service Upgrades A/C Fencmn(P|oUSumnyFo�oge) <br /> ' <br /> Driveways-Not over Counter ifon public madvayo.aendoROW <br /> � <br /> ' <br />