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City DƒZeohV[hi\\sPermit � F�0��0U��o�\\C� �O <br /> . . Building Department <br /> F C-0 N) <br /> Date Received <br /> Phone Contact for Permitting <br /> Vx Number <br /> Owner's Name Owner Phnn <br /> owner's Address co[)o 7—a-pulon' 33�1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E (bwc 2-ulqyrhibt� RIM LOT# <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> E!� INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK �5-,Mlp relsiany-f- ea <br /> ' <br /> �—�B�\U0NG <br /> �—� VALUATONOFTOTALCoNm�nucnom <br /> . co . <br /> ELECTRICAL AMP F--� PROGRESS |--| YKR.E.C. <br /> =PLUMBING <br /> F--��ECHANk�AL MECHANICAL <br /> `-_� � <br /> =EA5 E2' ROOFING �—| � SPECIALTY | �| OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YBS NO <br /> - - - - - - - <br /> BUILDER COMPANY - 2), K. &!6 lr�c <br /> SIGNATURE nsGmreneo LY/ NL_] FEftcunnE« L_l_/N_� <br /> Address Uoenso# <br /> ELECTRICIAN �o�pA0Y � <br /> ES& <br /> SIGNATURE nEo/srEnso LY/ NL� psscunms^ L�LLI�� <br /> Address 12100 31 No Uoenoe# <br /> PLUMBER COMPANY <br /> SIGNATURE Rssonseso `/llN-1 'Fssounndf\ I `f!lN .J �,^ <br /> Address bIA Rlwr Tompa License# <br /> MECHANICAL <br /> SIGNATURE , �-(ll«_] pEEoonns^ -L' /N�] <br /> Address 0 WeW OrA Licenoa# <br /> OTHER COMPANY <br /> SIGNATURE RI Y?_N_j peeounneN <br /> Address 13 Liconoe# <br /> x x m n n x x v m n x x u n m x x x n u x x xn x x u x xn n n x x n x m u x u u n m m u x u � u u x n u m n x x x m m x x x x x m o <br /> RESIDENTIAL Attach(2)Plot Plans;(8 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 onsiba.Construction Plans,Gtonnwa0ar Plans v/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;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(1V)working days after submittal date. Required ono|te.Construction Plans,Stonnwatar Plans v�Silt Fence\nn�|\ed` <br /> Gan�x�Fa�|�nsG1dumd�ar.Site YVnrkPermit for all new pnVy�s.A800mmon�o|requirena�omuotmoedcompliance <br /> SIGN PERMIT Attach(2)sets uf Engineered Plans. <br /> ***^PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> |f over*25on,a Notice nf Commencement|orequired. (/Vo upgrades over$T5V0) <br /> � AQent(fhrtheoonbador)orPovernfAttorns�(fhrthnnvmer)wmu|dbeoumaone*itbnotadzed|eUarfrnmuwmerautbohzingsame <br /> O\«ERTHE COUNTER PERMITTING (copy ofuon�actvequimd) <br /> Ramofs|fshingles Sewers Service Upgrades A/C Foncee(P\uUSmvey/FnotaOe) ` <br /> Driveways-Not over Counter ifnn public madwoya..neodsROW <br /> . <br /> ' <br /> - <br /> ' <br />