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City of7eohYrh\\h9 Permit Application Fa»813-780-0021 <br /> Building Department <br /> Date Rec;elved Phone Contact for Permitting <br /> Owner's Name Owner Phone Number 5�i,�- Ct <br /> owno�axd Owner Phone Number <br /> / <br /> Fee Simple T0ako der Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ~ <br /> '[�!sz ~ <br /> suBonxmlO0 |D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wewcomsm xooVAoLT �--� 8|GN �—� �—� DEMOLISH <br /> INSTALL �_] REPAIR <br /> PROPOSED USE [--1 GFR F—1 COMM �--� OTHER <br /> TYPE OF CONSTRUCTION F—��' BLOCK �—� FRAME �---� STEEL F--� <br /> BUILDING SIZE S`QFOOTAGEW9Jn-3J_—A_C�_ HEIGHT <br /> =oU(LD|NG Ao, i VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR\CAL AMP SERVICE F--� P�OG�E8�EN�RGY �—� VV.R.E.C. <br /> ' <br /> =PUJMB|N2 ' <br /> �E�HANk�\L <br /> [--� MECHANICAL INSTALLATION <br /> =S/VS ROOFING �—l � SPECIALTY �--� OTHER <br /> FINISHED FLOOR ELEVATIONS -7FLOOD ZONE AREA =YED NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ' pssnoRRE^ <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE neaIorsnEo <br /> Address <br /> PLUMBER CoMPANry <br /> SIGNATURE nso/STERso -- <br /> Address Lioonsa# <br /> MECHANICAL COMPANY <br /> SIGNATURE F nsG/aTenso <br /> *mdmsa <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED <br /> � FEE CURREN <br /> Address Liconoe# I cc <br /> RESIDENTIAL Attach(2)Plot Plans;C4 sets of Building Plans;(1)set nf Energy Forms;R-O4w 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 Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atfach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fo'r-ms.R-O-W Permit for new 'construction. <br /> Minimum ten(1O)working d�m after submi�a|date. Raquimdonn|te.Conxhnc� � <br /> Construction Plans, <br /> OandaryFa�||Ues81dumpster.Site Work Permit for all new projects.All commercial mquirbmenbsmust meet compliance <br /> SIGN PERMIT Attach(%)sets of Engineered Plans. <br /> °�°PROPEFTY SURVEY required for all NEW construction. ' <br /> F0 out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> n over$a5V0,a Notice of Commencement isrequired. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power ofAUome�(for the owner)would be someone with notarized|eU �m��r <br /> same, <br /> OVER THE COUNTER PERMITTING �opyofcon�e�mqu�ad <br /> Remo��ehSewersn �am� Sam�eUpgmdenA/C � <br /> nces(Plot/Survey/Footage) <br /> Driveways-Not over Counter ifun public madways.neodaROW <br /> � <br /> ' <br /> ' <br />