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City ofZ8phV[hi\|s Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> , . <br /> Date Received OrAtn CO <br /> Phone Contact for Permitting <br /> Owner's Nam <br /> e nc- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> LLk ml .�t� (OBTAINED r-Rbm PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> ff INSTALL E REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION E2- BLOCK FRAME STEEL <br /> BUILDING SIZE SQ FOOTAGE �&HEIGHT <br /> JOB ADDRESS E� &1? j(lslf( 33510 <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> [--��LEOTRCAL AMP F--� PROSREgSENERGY �--| YV.R.E�� <br /> ___- <br /> �—lp0�8|N8 <br /> _-_ <br /> [--l�E�H�Nl�AL MECHANICAL^__~ . <br /> =GAS F�~� ROOFING [—� � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - <br /> au|LoER COMPANY <br /> SIGNATURE mEeIorsneo L��_�_J ~EEu"«,E^ LILL_/ <br /> Address License* <br /> Ea�6,s ct <br /> HLEnTn|CwN coMp*m, <br /> SIGNATURE nEo/STcnsn LY/ N_ FEsounnEN LILN__j <br /> Address u # <br /> 3LUMBER COMPANY <br /> 3/oNATVRE o nse/orseso LYl psEounnE^ �_J <br /> Address Linanse# <br /> wECHAN)oAL coMpAmr <br /> BmNATuRE nsoInTsnso ` LV/'N rssounne^v LY/ <br /> Address License# <br /> T0Bl COMPANY [irQ !HC_T_)66Q1c1 ?66�0$ <br /> aoNATuRE REGISTERED N psscunRE^ LY/N � <br /> Address License# <br /> x u x a x n x n m n x n u x u x u x u u u u x u'u u x x x a'u u x x o o o m x x o x u x x x x n u x x x x u x n x x u n x u x o x u u <br /> QES\DENT\AL Attach(2)'kbtP\ans�*(2)sets uf Building Plans;(1)set of Energy Forms;R-{]4V Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Foci\\ties&1dumpstor;Site Work Permit for subdivisions/large projects _� . <br /> ,oMMERCiAL A�/ohp)complete a�nuf Building Plans plus aLUeGo��Page;(1)o��ofEno�y*F��m.R,O4mpennitfornevmonntrnobmn. <br /> Minimum ten(1O)working days after submittal date. Required onude.Construction Plans,Stormvater Plans y/S\\tFmnoe\nnta\\ed. <br /> Sanitary Facilities&Idumpater Si8aVYorkPennitioreUnmwpu4ects.fd\oummoncia|mquirbmnntsmuotmoatcompiianue <br /> UG0PERM|T Attach(2)sets of Engineered P|�ana. _ <br /> °**°PROPERTY SURVEY required for all NEW construction. - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2mou'a Notice pf Commencement isrequired. (AIC upgrades over$T5V0) <br /> ^ Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> )VERTHE COUNTER PERMITTING (copy of contract required) <br /> �mo��nh�g�a. SewersSam�eUpg�dea A/C Fenues(p\uVGuwe�Fon�ge) <br /> Driveways-Not over Counter ifon'public madvaye.oaodsROW <br /> ' <br /> ' <br />