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\ <br /> | <br /> ' -_-- UityofZgohVrh\\iG Permit/\npUcatiDn ' Fo»813-780-0021 / <br /> Building Department <br /> Date Received C_'C) <br /> Phone Contact for Permitting I <br /> Owner's Name ' 17)�9. Owner Phone Number I <br /> Owner's Address Owner Phone Number L <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> ' ' <br /> auBDmmV]N nD# <br /> WORK PROPOSED . mpwcowsm AoD�J�� F---1 8|GN [--� �-� DEMOLISH <br /> �_] INSTALL F_] REPAIR <br /> PROPOSED USE [--� GFR �-1 COMM F---� OTHER <br /> TYPE OFCONSTRUCTION �-]� BLOCK F--1 FRAME F---\ GTEEL <br /> BUILDING SIZE SQ FOOTAGE �5i 7- 11�11 MHEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> F--lpLUMBING <br /> =MEOHAN|CAL ' UAT|ONOFMECHAWiCAL\NSTALLAT|ON <br /> =GAG 17'l ROOFING' �-� � SPECIALTY F---1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE8 No <br /> oU|LoER COMPANY <br /> SIGNATUREnso/�s�o �0_�1' pEEnonnEx [��] <br /> ,Address License# ET <br /> ELEnT0�|AN ��0YPANY <br /> SIGNATURE mEo|arEuso ~ FsEcuRes^ - <br /> /ddmao <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 'pssICueeEN <br /> . <br /> Address Lioenna# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED �� Fts��� <br /> Address <br /> OTHER c9 [ COMPANY <br /> SIGNATURE rEscunREN- YIN <br /> - <br /> ' <br /> »udress ww Liconoo# <br /> 1 CC <br /> RESIDENTIAL Attach(2)Plot Plans;(2)aets of Building Plans;(1)set of Energy Fo,mo�R'D4Y Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required omdha.Construction P|an�,Shonnvater Plans vl Silt Fence Installed, <br /> Sanitary Facilities Gidumpster;Site Work Permit for subdivisions/large projects _} . <br /> COMMERCIAL A�och�q complete s��ot Building Plans plus aLUeG �(�)sotufEnayF �Y c��e.R-� Perm\1fornmx 'cmnatronbon. <br /> Minimum ten(1V)working days after submittal date. Required onoite.Construction Plans,Stonnwater Plans v/Silt Pence Installed, <br /> Sanitary Fad\itioo81dumpatec Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> "°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Ovmor&Contractor sign back mf application,notarized <br /> If over$25u0,a Notice pf Commencement iarequired. (AIC upgrades over$750V) <br /> °^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing* same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs If shingles Sewers Service Upgrades 8/C Fenuoo(P|oVSumey/Footoge) <br /> Driveways-NotovorCounterifonpub8cmodwmys..nuadoROYy ' . <br /> / <br />