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—. .~...�~ City of ZeohVFhi\\G-Permit/\oDlicatiDn Fux-813-780-0021 <br /> � Building Department <br /> Date Received Permitting <br /> F one Contact for <br /> Owner's Addressi Iva ne Number <br /> Owner Pho <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID# <br /> . . (OBTAINED FROM..~.... NOTICE) <br /> _ <br /> WORK PROPOSED mawcoNSm F7 *DD/ALT �—� SIGN DEMOLISH <br /> E5 r3L" , <br /> INSTALL F_] REPAIR <br /> PROPOSED USE �--! � aFR [--\ oomM F--� OTHER <br /> TYPE OfCONSTRUCTION - BLOCK �—\ FRAME �--� STEEL <br /> ' <br /> =BU\LDING VALUATION OF TOTAL CONSTRUCTION <br /> �--lEL��r�C�L AMP [--1 PRooRESaENERaY F--1 VV.R��� <br /> ___. <br /> F--lpLU| (NG <br /> F--\MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ~v ^ ~ w <br /> �--\G/S [_�� ROOFING F—l � SPECIALTY OTHEROTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__]YES NO <br /> ts3 kb <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> au8LDER COMPANY " fr�C I <br /> SIGNATURE esG:STsnsu L�2_1�_� rse«unnsx L_YIN_J <br /> Address Liconoo# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F neo/xrEneo _y/_h�_] ' psEcUeRsN [_11 NL� <br /> Address License# <br /> PLUMBER COMPANY 6 <br /> SIGNATURE REGISTERED _y/_N_] 'rsscuR-ntN [_yylV_-_\ <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED -(/'N_ pesnumnsN -r yiy _J <br /> Address ) License# <br /> OTHER COMPANY KabnDzla <br /> SIGNATURE REa/nrsnso `V_N_] psscuRRE^ <br /> Address Liconao# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building P\ano;(1)set of Energy Forms;R-O4V 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 Facilities&1 dumpstec Site Work Permit for subdivisions/large projects <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 /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requirements mustme6t compliance <br /> SIGN PERMIT Attach pq sets of Engineered P|ans. <br /> **°°PROPERr/SURVEY required for all NEW construction, - <br /> Fill out application completely. <br /> Owner&Contractor sign back uy application,notarized <br /> n over$2soo,a Notice cf Commencement isrequired. (/vC upgrades over*750n) <br /> � <br /> Agent(for the contractor)or Power of Attome�(for the owner)would be someone With notarized letter from owner autho <br /> rizing same <br /> OVERTHE COUNTER PERMITTING (copy ufvunhautmqu|�d) <br /> Remofs if shingles Sewers Service Upgrades A/C Funces(P\nUSumoy/Foutage) ^ <br /> Driveways-Not over Counter ifon public medwmyo..nesdaROW <br /> ' <br />