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--' uityot /ephVFhiU8 Permit Application Fa»813-780-0021 <br /> Building Department <br /> Date Received 6r\6,1kA)ar�"Or*,tn <br /> 2_2- Phone Contact for Permitting n� I <br /> Owner's Name wner Phone Number F a <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . Fig 5-� rg LOT# <br /> aVoomIS/oN <br /> (OBTAINED FROM PROIPERTY TAX NOTICE) <br /> WORK PROPOSED mowcowsm F7 Aoo6ALT F--� SIGN F—� �—� DEMOLISH <br /> INSTALL [_] REPAIR <br /> PROPOSED USE F--1 SFR F—� COMM �--� OTHER <br /> TYPE OF CONSTRUCTION F-2— BLOCK �—1 FRAME F--� STEELBUILDING SIZE F_ <br /> DESCRIPTION OF WORK "S <br /> ' <br /> =BU|LD\NG VALUATION oF TOTAL CONSTRUCTION <br /> �--��LECTR(CAL AMP 7--� PROGRESS �`—1 YV.R.E.C. <br /> _���� __-- <br /> F--lpUJMBiNa <br /> ` <br /> �—����HANk�L <br /> �__� MECHANICAL INSTALLATION U� m <br /> [--lG^S ROOFING �—l � SPECIALTY OTMER�--} <br /> __— <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA | |YES NO <br /> - - - - - - <br /> BUILDER COMPANY <br /> G|GNATUR£ nemISTemso ` psecunnEN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE neo/arsmsn `� nEi-ooRREN -- <br /> Addmso <br /> IS I DO S4,4as- V�,,Q 3ZJ_L= License# lk,13o ()�215— <br /> PLUMBER COMPANY <br /> SIGNATURE Rso/oreneo <br /> 1 Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE nso/orsnsoYIN <br /> FEE CURREN <br /> Address Licenno# <br /> x x x u m x x x x x u u x n x x x o « x x x x x`x n m u xVx u I x x x x <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OuNPonniffox new construction, <br /> minimum ten(1O)working days after submittal date. Required onsitn.Construction P|on�S�nnwater Plans v/Silt Fence in�aUed. <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _} <br /> COMMERCIAL Aboch(�complete on�nf Building Plans�uamLheSa��Page;(1)set ofsnn�y F,�mo�n,(�wPo���narnmw�onatrucVnn. <br /> Minimum ten(1o)working days after submittal date. Required nnnite.Construction Plans,Stnnnwe�r Plans v/Silt Fence\nn�\\ud. <br /> Sanitary Fa�|�en&1 dumpeter.Site VYorkPermit for oUnew pn�o�s.All commercial/equihamantsmuot meet compliance <br /> SIGN PERMIT Attach sets of Engineered P|iano. <br /> ~**pROPEFTY SURVEY required for all NEW construction. - <br /> Directions- <br /> Fi|\out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$25oO,a Notice of Commencement iorequired. (A/c upgrades over$75OQ) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing' <br /> same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades //O Fanoss(P|uVSurvoy/Footoge) <br /> Driveways-Not over Counter ifon public madwayn..needeROW <br /> / . <br />