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• 813- 78U -UULU tally LA LCtiilylinii rGIII lit nNNnvauvir • � y/ <br /> . Building Department " y e / • <br /> Date Received Phone Contact for Permitting 8 / _ _ 1 - 4 3 <br /> 03 <br /> . Owner Phone Number (6"3) °7(0 9 , ...r''.7 .4 '7,..7':- - <br /> Owner's Name • ��NI✓�l� �/O�"!�'S <br /> Owner's Address <br /> 14 0O N afsrSk•O,e4. SLf TAMPA MPA A-336GQ Owner Phone Number ( <br /> Fee Simple Titleholder Namei <br /> I .Owner Phone Number <br /> Fee Simple Titleholder Address I • <br /> • B ADDRESS 1 ' g x Y t 4 0 , 76A/re/it/la /./L .335 '90 I LOT # i . ?' <br /> JO I 3 '74n <br /> I tie . /tlx... LL., ' 1 PARCEL ID #I 03 --.24 —2�_ 023 0 00000 - - o3 2O <br /> SUBDNISION. (OBTAINED FROM PROPERTY TAX NOTICE) <br /> N EW CONS I SIGN (-I MOVE 1 I DEMOLISH <br /> • WORK PROPOSED �a TR I REPAIR <br /> INSTALL <br /> • <br /> PROPOSED USE' • n SFR 1 I • COMM n OTHER I ` <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME • I I STEEL n OTHER 1 <br /> DESCRIPTION OF WORK ' ALO <br /> QwIV ✓0.S <br /> Al EA./ CoNSTk.vGT 0n7 -- "3- <br /> BUILDING SIZE 1 • • 1 SG FOOTAGE 1 f 37i I HEIGHT i + `STb/C'g 1 <br /> n B $ 31 , 6 SD VALUATION OF TOTAL CONSTRUCTION <br /> • n) ' ELECTRICAL . $ • • 3 V AMP SERVICE t PROGRESS ENERGY [ T W.R.E.C, <br /> 71 PLUMBING $ 1f3.7S <br /> n MECHANICAL $ 4/? 9 VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS n ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS 89 4 o FLOOD ZONE AREA 1 IYES f INO, <br /> • • <br /> BUILDER GEN/04e. WOJ✓.6 - 5 . <br /> SIGNATURE �/ REGISTERED i Y/ N 1 FEE CURRENT ' I Y/ N I <br /> Address - i a I. h/s BLfa -7 ia. 334, 9 . License # • OeG / :.Z S Sal .51 <br /> ELECTRICIAN COMPANY gO/QGAnI &61Z/ L. C i/1/F/9A , L tC <br /> SIGNATURE REGISTERED ' I Y/ N I FEE CURRENT . I Y/ N C/ .36d 7� <br /> • b 4:0 Address f/ . 0 E. Oc e . . , it S r LAq �LArio,�L 33o51 • License # <br /> P /u,,v' b' r' <br /> � <br /> PLUMBER / COMPAN - - • -- : <br /> SIGNATURE . _, . : E ISTERED I Y / N I FEE CURRENT Y / N r. r 2 1,00 <br /> tom. ' s a.. rrr �i� • <br /> Address / . - _ Licen # <br /> ..� ' <br /> MECHANICAL / COMPANY 8400�t/E - g,,Wd /q/G; f / ?a97?4//', 0 G- <br /> SIGNATURE REGISTERED Y / N i FEE CURRENT : . I Y / N i <br /> Address A 1. 8O)(S oQ 8�yo� erPoiivr FL3S/6 ?� .. License # I CAC ms$ 0 & 2 <br /> OTHER COMPANY C. N'TEA'4/;06-.. l rJ9['e R 'u6 Zvc. <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT' I Y/ N I <br /> Address I5 51044 L /uE 8LVp SAelw, /LL CL3SI`O f License # GG- Co Sit 99 , l <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 (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) 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 (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requlrements meet compliance <br /> • SIGN PERMIT . Attach (2) sets of Engineered Plans. <br /> " 'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. . • . <br /> Owner & Contractor sign back of application, notarized ' <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> "' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner a'uthorizing'same • <br /> • OVER THE COUNTER PERMITTING (Front of Appllcation Only) <br /> . Reroofs ' Sewers ' Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways. ..needs ROW <br /> • <br />