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City OfZ8p�Yrh\\l8 Permit Application Fox-813-780-0021 <br /> Building Department <br /> Date Received 17-7 Phone contact for Permitting <br /> Owner's Name rx Owner Phone Number <br /> Owner's Address' Typ I e 00 33�1 3�_ Owner Phone Number <br /> Fee Simple Titleholder Nameown,er Phone Number <br /> - <br /> Fee Simple Titleholder Address <br /> LOT <br /> JOB ADDRESS <br /> aVaoIVoonON PARCELOD# <br /> ,_-(OBTAINED FROM PROPERTY TAX—NOTICE) <br /> _' <br /> WORK PROPOSED E5wewcommTn ADDLT �--� 8\Gm �--] F--1 DEMOLISH INSTALL R <br /> 0\REPAIR <br /> PROPOSED USE F--1 aFR �-1 Comm �--1 OTHER <br /> TYPE OF CONSTRUCTION ' BLOCK �-1 FRAME F--1 STEEL | \ <br /> BUILDING' ����� ' <br /> =BU\U}|NG VALUATION OP TOTAL CONSTRUCTION <br /> �-�EL�CTnV[�� AMP �--\ PRoGRE88ENERGY F--1 vv.R.E.C. <br /> st <br /> �__. <br /> =PLV| |NG <br /> �--)�ECHANk�\� ' MECHANICAL y v^ <br /> �_� . <br /> �--|GAG F-�� 'ROOFING �-| � GPECK\�Y | \ OTHER <br /> ��� �� <br /> FINISHED FLOOR ELEVATIONS, <br /> FLOOD ZONE AREA =YEa NO <br /> Bu|LoGm COMPANY <br /> SIGNATURE mEGIorsnso L����_| pEIt:»n°E^ L� /NL� <br /> Address Ucense# <br /> ELECTRICIAN ooxoPAwY <br /> SIGNATURE REGISTERED FEsnunREN L�N� <br /> Address License. _ / J <br /> PLUMBER COMPANY <br /> SIGNATURE nso/STEneo LY/_N I 'ResounnsN L YIN I <br /> Address Licenpe# <br /> MECHANICAL COMPANY pro <br /> SIGNATURE L REGISTERED , lV_] FEE cunnsx -�,//1�_� <br /> Address Lioenso# <br /> OTHER COMPANY A�rA_ hc_anc�:,A <br /> SIGNATURE REGISTERED LY/_N_J rFsoum,s^ L_Z NL_�/ <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 ono|te.Construction Plans,Stonnwm0ar Plans vlSilt Fence installed, <br /> Sanitary Facilities&1dumpstec Site Work Permit for mubdivioiooa8argeprojects <br /> 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 /> GanitaryFuci|iUea&1UumpstecSihaWorhPonnithoraUnmwpn4aots.N\onmmancio\reqV\mmantsmuotmoetnump|ionue <br /> SIGN PERMIT Attach(2)sets of Engineered P(Bno. <br /> **^°PROPEFUY SURVEY required for all NEW construction. ' <br /> �ienUpoo� - - - ' ' ' - ---�-'-�------ <br /> R|\mdapp|icaUonnump|otely. <br /> Owner 8 Contractor sign back nf application,notarized <br /> If over$uao0,a Notice v,Commencement isrequired. (A/o upgrades over*T5oV) <br /> Agent(for the contractor)or Power of Attome�(for the owner)would be someone with notarized letter frorp owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy uf contract required) <br /> Ramofsifshingles Sapmro Service Upgrades A/C Fences(P|nt/Gumey/Fnotago) <br /> Driveways-Not over Counter ifon public madvaye..nuedoROW <br /> . . <br /> '^ ^ . <br />