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813- 78U-UULU lady 01 LCpliyil mil MIL ryJm.auvI1 • <br /> Building Department <br /> • <br /> Date Received • , -2/� • • 8 / L/ 7b - © 3 63 <br /> Phone Contact for Pemtlttin <br /> Owners Name • 4'N/149 / O,ES Owner Phone Number /3) '7(9 -7 • <br /> Owner's Address 400 N L✓i.Sfs»o, • SLfD "Ar`lOA FL 33609 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � . / <br /> JOB ADDRESS '3a / ✓/(1Gb LA S 7404/y aJ 41/1 i 33S90 LOT # /0•' <br /> SUBDIVISION. 8/44/V,D . / - . 3 <br /> PARCEL ID# O -.?4 -21- Q C3 <br /> 23 0 -- .00DO -/© <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED • p. NEW CONSTR ADD /ALT n S IGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE' n SFR ' I I- COMM n O THER I I <br /> TYPE OF CONSTRUCTION / BLOCK I I FRAME n S TEEL n OTHER I I <br /> DESCRIPTION OF WORK A/Ew CONSTQUCT OA) - 7 - 04 4 -JA./ A <br /> BUILDING SIZE SQ FOOTAGE /53 1 HEIGHT a ;cy ` <br /> • n B $ 3/, 6 so VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ • �3 f AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> ` <br /> n PLUMBING $ 1,325 <br /> n ' MECHANICAL $ 41.2 95 -- VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS 9 / o FLOOD ZONE AREA [ IYES T N0 <br /> BUILDER COMPANY <br /> ZEN,VAg- # omit s <br /> SIGNATURE • ," / . REGISTERED I Y / N I FEE CURRENT • I . Y / N <br /> Address <br /> -r 07 W 1 33L09 License# CSC.,/ ,, R 'S ST. / <br /> ��'" • BLftp ?�9 . <br /> ELECTRICIAN /� COMPANY /Y P � E fC'rc /( ZN C • <br /> SIGNATURE 7// REGISTERED '1 Y/ N I FEE CURRENT I Y/ N <br /> e C 00 <br /> Address , / t?.3 1 / •.SfC /i /i✓Uf'1D,�4^�/1Lf L 3361.E License 9 <br /> PLUMBER • /� %�' COMPANY - /5 W' Pi-- ti M /3 /N G <br /> SIGNATURE ' REGISTERED _I Y / N I FEE CURRENT `. I Y / N <br /> Address ( w'o V-7 //iv Y -- S' : .12I,vE2f//£(.t2 33,m License# CFG p.2 /S0 0 <br /> MECHANICAL ' ' / COMPANY 8 O/J6 r gmow /Jr, •f een.4ia-, tr/iC -' <br /> SIGNATURE REGISTERED Y / N I FEE CURRENT '.' 1 Y / N 1 , , <br /> Address A 0 ' 50)( 5- • f a�oNETlAiNr, / L- 3Y675/1 License # 1 CA ' C 82 s 0 ' 2 <br /> OTHER COMPANY C, <irk CJ/A.4(r' , 9[,'�y � Q07uG,. vc. <br /> SIGNATURE REGISTERED I Y/ N l FEE CURRENT" I Y/ N I <br /> Address 194/1 = 4 L /ij 8t-vo SP2 /N6 /ficc,1Ci • License #' - .C& Co S 99 0 I <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 dumps(er; 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 requirements 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> • OVER THE COUNTER PERMITTING (Front of Application Only) <br /> . . Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />