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~'~ "^" City OfZeohVrh\\ls Permit Application Fax813-700-0021 <br /> Building Department <br /> Date Received Permitting Oslo aiftC0CAi,_k0rfM, C.00A <br /> I = Phone Contact for. T� <br /> Owner's Name R (-�M Owner Phone Number <br /> Owner's Address[Emp * <br /> ]�- Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 314 <br /> JOB ADDRESS 33(;q LOT# <br /> - ~ <br /> SUBDIVISION F E, P/nRCsLDD# <br /> . (OBTAINED FROM PRO_...TAX NOTICE) <br /> _� <br /> WORK PROPOSED newcomsTn ADDA\LT �--� SIGN F--) F--| DEMOLISH <br /> |NGTALL [_] REPAIR <br /> PROPOSED USE F--1 � 8FR �-� COMM �--1 OTHER <br /> TYPE OF CONSTRUCTION - BLOCK �—1 FRAME �--1 STEELBUILDINGSIZE SQ FOOTAGE HEIGHT <br /> ' <br /> =8U!LDING VALUATION OFTOTAL CONSTRUCTION <br /> �--lELE�TRC�L AMP �—� PRQGREGSENERGY �—1 YKR.E�� <br /> ___ <br /> =PUJ| <br /> =MECMANkCAL Cto VALUATION OF MECHANICAL INSTALLATIQN <br /> [--�G�� �-��' ROOFING �—1 , SPECIALTY OTHER <br /> DTHER <br /> ��' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER ' COMPANY <br /> SIGNATURE nea/orEnso LY/ N pseuunms� L_yj NLJ <br /> Address Ucense# <br /> ELECTRICIAN COMPANY C Ellerin <br /> SIGNATURE REGISTERED FETE FETE L <br /> nonnsx Y_7NL� <br /> Address Jbhlas PkW Licanso# <br /> PLUMBER > COMPANY <br /> SIGNATURE Rso/arsnso Yl_N_ 'nsEoonnItx LY/N I <br /> Address u # <br /> MECHANICAL COMPANY <br /> SIGNATURE , �^�!-N nEsounRE^ -tj/N_J <br /> Address � Uoan;o# <br /> � <br /> OTHER COMPANY <br /> SIGNATURE nsa/oreeso L2 / NL F�F_Ecunnsx L_ILN__J <br /> ' <br /> Addmos 1 �,531 Licenne# <br /> u u m u x x x m m n x o 11 D n x xm n x u x111 N u V o VI m n n u u w u m x n u 8 1 m u x u 11 <br /> RESIDENTIAL Attach(0 Plot Plans;Cg sets of Building Plans;(1)set of Energy Forms;F-O-W Permit for new construction, <br /> Minimum ten<1O>working days after submittal date. Required ono|ha.Construction P\ann.'G0onnvwatar Plans vl Silt Fence installed, <br /> Sanitary Facilities&1 dumpetmr;SitoVYork,Pennit for subdivisions/large projects 'COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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 Foci|itina@1dumostar.Site Work Permit for all new projects.All commercial req9ivehnwnts must meet compliance <br /> SIGN PERMIT Attach sets of Engineered P|ano. <br /> °***PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> |f over*2suu,m Notice o,Commencement|srequired. (/VC upgrades over$?5OV) <br /> � Agent(fbrthaoonboctor)nrPovernfAttomo�(fbrdmovnm)wmu|dbouomeoneWithnotohzod|otterhnrinownmrauthnridngsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofs if shingles Sewers Service Upgrades A/C Funuaa(P|ot/8umey/Fontage) <br /> Driveways-Not over Counter ifon public nood*myo..neodnROW <br /> ' . <br /> '.^ . <br /> . . <br /> . - <br /> ' <br />