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'--' uityOf l Application Fa»813-780-0021 <br /> Building Department <br /> Date Received M <br /> Phone Contact for Permitting <br /> Owner's Name nc_' Owner Phone Num* belr a <br /> Owner's Address —RAMM 7�!z6mw U43�-Owner Phone Number <br /> Fee Simple Titleholder Name 'F Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SUBDIVISION m# <br /> (OBTA(NED FROM PROPERTY TAX I�OtICE) <br /> WORK PROPOSED mEwoomsm ADD/AO' �--� S|GN �—� F--1 DEMOLISH <br /> INSTALL F_] REPAIR <br /> PROPOSED USE �—� GFR �—1 COMM �--� OTHER <br /> TYP5OFCO08TROCDON F—��' BLOCK FRAME F---1 STEEL <br /> DESCRIPTION OF WORK �;WCI�L �%�l IQ <br /> BUILDING SIZE SQ FOOTAGE <br /> | |8UiUD)NG <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> �--\ELE�TR|��� AMP F--� PRDGREGGENERGY F--\ YV.R.E.C. <br /> __-- <br /> =PLUMB|NG <br /> �E�HAN|�AL <br /> F--1 LUAT|ONOF MECHANICAL INSTALLATION <br /> =G/S F�°� ROOFING F—l � SPECIALTY �--� OTHER <br /> FINISHED FLOOR ELEVATIONS Cfb'.1167 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> ` <br /> tdgn Inc . <br /> SIGNATURE ne� �snso REGISTEREDFEEouRREN <br /> Address <br /> ELECTRICIAN COMPANYG|GNATVRE neamrsnso ` FEEcunnsx — <br /> Address Ucanso# <br /> PLUMBER COMPANY <br /> SIGNATURE o nEoISrenEo � <br /> � <br /> Address U�mm# <br /> MECHAN(CAL COMPANY <br /> SIGNATURE nEo/nrsnso <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE msa/��n�oYIN <br /> FEE CURREN <br /> A ddress I Uoenoe# I cc <br /> m x x x x 1 n x x u n x V n x K m x u n fix 01 u V 1 m�x <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 onsite,Construction Plaqs,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects _) <br /> COMMERCIAL ��ch(2)complete oo�nfB�|ding Plans�uaaLUe Se��Page;(1)set ofEna� v��yFm.R,C-N' erm|t1orne*cmnatruo8nn. <br /> Minimum ten(1O)working days after submittal date. Required onaiha'Construction Plans,Gtnrmwater Plans vt�i\t Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirbments-must meet compliance <br /> SIGN PERMIT Attach p4 sets of Engineered Mks. <br /> �'PROPERTY SURVEY required for all NEW construction. ' <br /> Fill outapplication completely. <br /> Owner 8 Contractor sign back uf application,notarized <br /> If over$25oV'a Notice of Commencement iorequired. (AIo upgrades over*7500) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rmmofs if shingles Sewers Service Upgrades A/C Fenceo(P|oKSun/ey/Footage) <br /> Driveways-Not over Counter ifon public modveys.oandeROW <br /> ! <br /> —7 ' <br />