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~'^-'""-v"4" City OfZ8phV[hU\s Permit Application Fax-813-780-002i ' <br /> Building Department <br /> Date xe ` <br /> nop�u ] Phone Contact for Permitting <br /> Owner's Name wrier Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> auBoN|m|oN F (o# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wawoowsm 800/AJ]' F---1 S|GN �--| F—� DEMOLISH <br /> Ef INSTALL [_] REPAIR <br /> PROPOSED USE F—� oFR �—� COMM �--1 OTHER <br /> TYPE oFCONSTRUCTION �—��� BLOCK �-� FRAME �--� STEEL �--1 <br /> DESCRIPTION OF WORK q,, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ' <br /> |—laU|L�|No <br /> �—� VALUATION OF TOTAL CON8TRUCTION <br /> ! |ELECTR\{AL AMP SERVICE �--) PROGRESS �—� YV.R.EC. <br /> =pLUMa|NG <br /> =MECHANICAL 000 VALUATION OF MECHANICAL INSTALLATION <br /> �--l�A� F�^l ROOFING OTHER <br /> F--} SPECIALTY [---1 <br /> �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ! |YES NO <br /> - - - - - - - - - - - - - - - - - - - - - - <br /> oU|uo6R COMPANY <br /> SIGNATURE REGISTERED ` rssoonnEx <br /> Address <br /> =-LeCTRlCuuN COMPANY <br /> 3|GNATOR6 nsa/oTEnso ^ peEcunnsx — <br /> Address <br /> =LUMaER COMPANY <br /> 3|GNATURE F o mse/STEeso ~rEstUnRa YIN <br /> xuu,ass License# <br /> mECHAN|oAL COMPANY <br /> 5/GNATuRE REGISTERED <br /> Address <br /> )THER e-- [ COMPANY <br /> )|GN/TURE msa�o�ssso - �pEs <br /> Address License# I cc <br /> �n x x u uVx n n x x x x m x o x n u x a n <br /> ZEBVDENTVu- Attach(0 Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> SanibaryFs�UUau8idumps�r;Site VYudkPermit for subd\�o(nn�|orgnpn4o�s ` <br /> 'pMMERCU\L /��oh(2)complete sets o[Building Plans plus a Life Safety Page;<1>set ofEnergy --�Forms.R,64W Permit for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onsito.Construction Plans,8\onnwm�er Plans y/Silt Fence Installed, <br /> SandaryFad|i0ms&1dumpe�r.Site YYorkPnonKfor oUnew p�4e��.All oommen�o|nequihymon�muut meet compliance <br /> UGNPERN\T Attach(2)sets of Engineered Mks. <br /> ^°**PR3PERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> owner&Contractor sign back nf application,notarized <br /> n over*u5no'a Notice pf Commencement iorequired. (AC upgrades over$J5VO) <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame ` <br /> x/sRTHE COUNTER PERMITTING (copy of contract required) <br /> .emofs if shingles Sewers Service Upgrades A/C Fonoes(PloVSumey/Fnotage) <br /> Driveways-Not over Counter ifon public madwayo.00edsROW ' <br /> ' <br />