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' ... ...~"�. City of ZeohVrhU\s Permit Application ' Fa»813-780-0021 <br /> Building Department . <br /> � <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number 91, <br /> Owner's Address <br /> -Fee Simple Titleholder Name tl' ryLe- Owner Phone Number <br /> Fee Simple Titleholder Address F_ <br /> JOB ADDRESS 41 LOT <br /> SUBDIVISION PAROEL0# <br /> . . (OBTAINED~ . ._-. Y'__-_ <br /> VVonK PROPOSED wewcowsTn pDD/ALr F---1 8|GN �--\ �--1 DEMOLISH <br /> |�| INSTALL R <br /> REPAIR <br /> PROPOSED USE F--1 � eFR �-1 'COMM �--� OTHER <br /> TYPE OFCONSTRUCTION � BLOCK [-� FRAME �--� STEELBUILDING SIZE SQ FOOTAGE <br /> DESCRIPTION OF WORK <br /> HEIGHT ' <br /> ��BU\LD|NG VALUATION OFTOTAL CONSTRUCTION <br /> ��-JEL�CTF8�AL AMP �--� PROGRESSEN2R[B' F--1 YY.R-E.C. <br /> 720 <br /> _r7� * <br /> � |pLUM8\NG <br /> r-?�"EoHAN|CAL MECHANICAL INSTALL8T\ON <br /> =GAS 1 <br /> -21 ROOFING [-l � SPECIALTY \ | OTHER n' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEa NO <br /> BUILDER COMPANY lr\, <br /> SIGNATURE ' REGISTERED _y|NL_1 FEcouRns^ LY/NL� <br /> Address Ucenoa# <br /> ELECTRICIAN 0, COMPANY <br /> SIGNATURE REGISTERED [��] ' pffC1'1nRE:x Y-1 N�� <br /> Address Ucenma# <br /> _ / <br /> PUJMBER COMPANY <br /> SIGNATURE REGISTERED HyN ] 'pescukRtx I YiN . I u <br /> Address <br /> MECHANICAL COMPANY V, <br /> SIGNATURE �2 �?-"a/�_� I ' [_^�,l�_] �esoue�s� -�'y/lN_1 <br /> AddressUcensm# <br /> OTHER COMPANY <br /> SIGNATURE nse/aTsnEo pEeounRsN ' <br /> A ddress <br /> x u x x x x x u x 1 u u x 1 U K x fix x 1 V ,1 U V U x VI I. , 1 8 K 1 1 K <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(A)set of Energy Forms; Permit for new construction, <br /> Minimum ten(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wt Slit Fence installed, <br /> Sanitary Facilities&1d mpetecSheVYorkPennitfnraubdivio\ons/largepnojams <br /> COMMERCIAL Atfach(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 onsiba.Construction Plans,Stormvater Plans v/Slit Fence Installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects,All commercial requirements must-mest compliance <br /> SIGN PERMIT Attach(2)seto 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 /> |rc°e,$zaon^allouuuofcommonconomrt|srequired. (4/C upgrades over*75OO) <br /> � A0ent(for the contractor)nr Power of/ttomo�(for the owner)would bo someone with no�hzed|n�er�nmowmera��oh6n same <br /> o�ERTHE COUNTER PERMITTING (copy ofuon� �contract <br /> ' ^ ' <br /> Remofs if shingles 8evero Service Upgrades A/C Fences(P|oVGumey/Foota0* ',,^^'-~ ' <br /> DdvewaymNotuverCuuntarIfonpub|lonoadvayo.aeodoRDYV <br />