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--' uityot Z-8phVrhi(|g Permit Application Fa»813-780-0021 <br /> Building Department <br /> Date Recelv6d _7 Phone Contact for Permitting dr�"Or�rtn'cc� <br /> Owner's Name C_ Owner Phone Number <br /> IUOO�_— —Owner Phone Number <br /> Owner's Addressi <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> ~ <br /> SUBDIVISION ARCEL UD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wowoomon F7 AoDhALT �--� SIGN F--1 �—� DEMOLISH <br /> INSTALL [_] REPAIR ' . <br /> PROPOoEDUaE [--1 GFR [—� COMM �--1 OTHER <br /> TYPE OFCONSTRUCTION F—��' BLOCK r—� FRAME �--� STEEL �—� <br /> NJ <br /> BUILDING SIZE S' Q FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK <br /> �--lBU|L�|N� <br /> �--� VALUATION OF TOTAL CONSTRUCTION <br /> F--lELECT�|[�� AMP �--1 PROGRESS F--1 YV.R.E.C. <br /> ���� <br /> F--lpLUMB|Ng <br /> F--lMECMANkCA VALUATION OF MECHANICAL INSTALLATION / <br /> _-~� <br /> [--�G/�� ��1 ROOFING [—� � SPECIALTY [---� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER COMPANY <br /> SIGNATUR <br /> E RsGoTsneo pssoonnEN YYlN_] <br /> xudmso IV71,07 Ucen o# <br /> ELE�TR}C�� COMPANY <br /> SIGNATURE nsoISTsnso YIN I- FsEoonne^ — <br /> Address 5k,Uny ftmw 364A 1 Uoonoo# <br /> PLUMBER COMP/NY <br /> SIGNATURE REGISTERED 'FssbURREN � —YIN I <br /> � <br /> Address 10M 4A Uomnne# <br /> MECHANICAL COMPANY <br /> S|GNATU�� nse/�s�o � ptECUnRE10) <br /> Address <br /> OTHER ���P�NY <br /> nso/aTsnso - <br /> WW <br /> SIGNATURE ArQck HC-�rssm����^�— <br /> � � <br /> Address License# <br /> RESIDENTIAL 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 /> COMMERCIAL A�sch(2)complete o�oof Building Plans plus aLUeG�e�Page;(1)set ofEno�yF��n.R'O- VPenn\t for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onmite.Construction Plans,8tonnvuator Plans v/q Silt Fence Installed, <br /> Sanitary Fa�|�oa&1dumpn�r Site Work Permit for all new pn4ad All <br /> �� <br /> qu|r�montamuotmooump|ionco <br /> SIGN PERMIT Attach(2)sets of Engineered P|bns. <br /> °°^~pROPERJ7 SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$u5uo,o Notice of Commencement|srequired. (A/C upgrades over$750O) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles 8ewors Service Upgrades A/C Fennes(P|oV8urvey/Footagn) <br /> Driveways-Not over Counter ifuu public madways..needaROW <br /> ! . <br />