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813 78U - UUzu tally 01 LCNIIyIInna nNNn,c,Liwi <br /> Building Department • <br /> Date Received 8 / f1.1,4 _ ' 3 63 <br /> Phone Contact for Permittin <br /> Owners Name • b&t/^/,4<' //OffiE'S• • Owner Phone Number (6"3) 7( <br /> Owner's Address 1400 A a Sf'/FO,f4 . &4'O TAMPA.• 3344 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number ' <br /> Fee Simple Titleholder Address / /� I /O JOB ADDRESS 0 336 M 3./C L L L'( 744/yie/9t/Ll f��L '3350. LOT # / <br /> SUBDIVISION. 8 / L 4 N ' 0 . i9-/4 PARCEL ID# 0 5=2 60 -2/" 0.23 0".00000..- /./ ?, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED • NEW CONSTR ADD /ALT n SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE' n SFR I I COMM I i OTHER 1 • <br /> TYPE OF CONSTRUCTION 5RZ BLOCK I I FRAME n STEEL n OTHER I I <br /> DESCRIPTION OF WORK • Al E11/ CO <br /> NSTi2UGT OA) 1 - 0CA - JN A ,40. <br /> BUILDING SIZE SQ FOOTAGE /37/ / HEIGHT a SID eg <br /> [ ( BUILDING $ i✓ 6 sO VALUATION OF TOTAL CONSTRUCTION <br /> F ELECTRICAL $ 3 � i 1 0 AMP SERVICE 541 PROGRESS ENERGY nI W.R.E.C, <br /> PLUMBING $ Y•325- <br /> I MECHANICAL $ 4 1 ? 9 VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS n ROOFING n SPECIALTY n OTHER • <br /> FINISHED FLOOR ELEVATIONS 90 • /.0 FLOOD ZONE AREA ( IYES i - ] NO <br /> 7 <br /> BUILDER COMPANY LEA /A/4- #Or✓7t 5. • <br /> SIGNATURE - - m°> REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address kA0 � N• . wa • B &bG �. A, , 33(.09 • License# CBC/ ? SST�j <br /> ELECTRICIAN • COMPANY L"o%Yo y 0/4-1 XA/ C • <br /> SIGNATURE REGISTERED • I Y/ N I FEE CURRENT I Y/ N <br /> Address , /,! 7 .51 'i . /a0,077,Pil1?. fL 33613 License # O 00 o 2579 <br /> • PLUMBURE �� COMPANY //1W PL-uM/j //V& <br /> REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 632-7 // V o/ S ./2r /£',CL 33$7,6 license # 0 <br /> MECHANICAL COMPANY B07olt/ET entelrf/6r, //607'f/!r, O At <br /> SIGNATURE t( REGISTERED ( Y / N I 'FEE CURRENT i Y/ N i <br /> I A I� ' BOx S- o . 4341yomer/ ur ,*L39670I i SRC 0 e s�S. . 6' 2 <br /> Address . � Lic # $" <br /> OTHER "/ COMPANY C. *SrEK'L ,q�,ty rQooF3�uG,. vc. <br /> SIGNATURE REGISTERED I Y/ N i FEE CURRENTT - I Y/ N <br /> Address I 1 /4// 5 FOAL L/uf BLVD c.$ 11144 3s4 07 ' License # I c C_ C 0 sa 99 7 • <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-0-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`must'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. (NC upgrades over $5000) <br /> Agent (for the contractor) or Power of Attomey (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 /> • <br /> . Driveways -Not over Counter if on public roadways..needs ROW <br /> • <br /> • <br />