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'--- ulty of ZeohYrh\llGPe[nlit Anpi\C8tiOD Fa»813-780-0021 <br /> Building Department <br /> . . <br /> Date Received Phone Contact for Permitting <br /> Owner's Name BYJ Owner Phone Num' ber <br /> nC <br /> Owner's Address J!�7Z%Pqj 3S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SUBDIVISION <br /> tOBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ffEWCONSTRwE <br /> �m�/ L� SIGNL� L� DEMOLISH INSTALL REPAIR <br /> PROPOSED USE �—� oFR �-� COMM �--� OTHER <br /> TYPE OFCONSTRUCTION [--�~ BLOCK F—� FRAME �--� STEEL <br /> DESCRIPTION OF WORK U�� I <br /> _-__.NG SIZE-_ SQ FOOTAGE HEIGHT . <br /> =BU|LO!NG VALUATION OF TOTAL CONSTRUCTION <br /> �--�ELE�TR|CAL AM SERVICE F--� PROGREG�ENERGY F--1 VV.R.EC. <br /> 211 <br /> �-_^ <br /> =PLUMB|NG <br /> =MECHAN03AL VALUATION UF MECHANICAL\N8TALLAT\ON ^ ° ' -- <br /> =GAS r/ ROOFING' �—l � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__1YES NO <br /> BUILDER COMPANY <br /> 8|�mATU�� nr- <br /> REGISTERED LY_Ll� FEEuu«:E~ L_Y/N_� <br /> Address uuw//ue# <br /> ELECTRICIAN CoMp*m/ <br /> SIGNATURE neo/STsnso LN/_N_ rEsounmEN L_l 1114_� <br /> Address License# <br /> PLUMBER COMPANY <br /> amw/ToRE nea/STswso LY_LN_J FsEcunnsa L_71l�_� <br /> ' <br /> Address License# <br /> MECHANICAL ooMpAmr <br /> 8|o04JURE nsa/orsneo ` L����_� pcEounnsNv L_l NL_| <br /> Address License# <br /> OTHER 4 coMp/uxY <br /> SIGNATURE xsoIorsseo L_���L� rsEuunnsx LY/NL_] <br /> Audress License# I cc <br /> RESIDENTIAL Attach(2)Plot Plana�(2)sets of Building Plans;(1)set mf Energy Forms;R,O-W Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plan's,Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _) � <br /> COMMERCIAL A��rh(2)complete o�oof8uUding Plans plus mUfaSa��Page;(1)set ofEna0yF��s.R'O-�/Permit for new onnntruction. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction | Stormwater Plans wV Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permitfor all new projects.All commercial requirements must meet Compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered Plans, <br /> **°°PRDPERTY SURVEY required for all NEW construction. - <br /> Fill out application completely. <br /> Ovmoc&Contractor sign back of application,notarized <br /> If over$25Vn'=Notice of Commencement isrequired. (AIC upgrades over$750O) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rmnofsifshingles Sewers Service Upgrades 8/C Fenoea(P!uVOumey/Footuge) <br /> ' <br /> Driveways-Not over Counter ifon public madvaym..nnadeROW <br /> . <br />