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813-780-0020 Gi�ly o�'Gepnyrnnis ��c;rl�u�r�NN�������,� • <br /> Building I]ePartment <br /> � � � � - � �/3 ��. � <br /> Dale Recoived Phono ConiacL for Permitting �' �----s� - ---= -i-rrr�-�-ri-r <br /> - -- - ---- - - ----- --- -I-I-I-I-t-1-li ----- -- 1-I-1-t- - - <br /> .,-,-�-,�-,-,-,-�-,-��-�-�-,--- - - --- . ��3 � �y= s�� <br /> "/� �e `��,„/ � �e' Owner Pl�one Number <br /> Owner's Name �r- ��� �' <br /> '� 6��, C �� ,�Ge Own�r Phone NumUer <br /> Owner's Address • � <br /> Owner Phone Nurriber <br /> ree Simnlo Tifilehold�r Name • , • <br /> Pee 5imple Titleholder Address , I-�-=-_�--' . <br /> 3�%l�So�-� L�c.�tJ//� �,e .. r` s � . �o-r�r <br /> JOCi ADDRCSS . ' ' <br /> �S PQ l�I/(�(� /�I06/!� PARCGL[D# -�D�-E7 ��• aoZlO(� _�()� J ��3� <br /> SUI3DIVISION � - r � (OIITAINED FROM PROPBRTYTAXNOTICC) <br /> c SIGN 0 MOVE � DGMOLISFI <br /> WORIt PROPOSGD ' NCW CONSTR ❑ ADD/ALT CJ <br /> � INSTALL . RCPAIR <br /> PROPOSL-D U5C' • 0 SPR ' ��• COMM 0 OTI-IER <br /> '►'YPC O�CONSTRUCTION � 13LOCIt � <br /> 1=RAME � .0 STEEL 0 OTI-IER f1J�l.c/ � <br /> Scu� 'I�M it - � <br /> DCSCRIPTION 01=WORK . • • . <br /> 13UILDING SIZC � � ��� SQ�OOTAGE ��� I-IEIGFIT <br /> � 13UILDING ����0 O� VALUATION Of=TOTAL GONSTRUCTION <br /> PROGRESS GNERGY Q W.R.E.C. <br /> ���FJ"ELGCTRICAL :r . . AMP SERVICC L� , <br /> , �ASCO PERMR SEFiVICE <br /> � pLUMRING �� (813)786-6314 _ . <br /> -�� �.86'43-g247894 <br /> ���/�II�CI-IANICAL ,►; VALUATION OP MCCI-IANICAL INSTALLATION • <br /> � SPGCIALTY 0 OTf-ICR , � � ��7� <br /> � GAS � R001=1NG � . <br /> 1=1NISI-IED FLOOR CLCVATIONS 1=LOOD ZONE AREA �YES �NO <br /> ' ' / COMPANY � 4-i� '`� ' �C � <br /> dUILDCR \ G�`�'`�-� ���1 Y! N r-ee cuRR�Nr Y!N <br /> SIGNATURG � RCGISTCRED <br /> • . License�!� <br /> Address �'�`fl� �� /,c1� i'2t� Z�Pr/Y2�/L�5�33�y� � � <br /> CLGCTRICIAN • COMPANY <br /> REGISTGRL-� Y/ N f-CC CURRCNT Y!N <br /> SICNATUI�C • <br /> • License# <br /> Address , ' <br /> pL,UMRCR � COMPANY <br /> REGISTERED Y/ N �GG CURRENT Y I N <br /> 51GNATURC (� <br /> License# I <br /> Add�ess <br /> MCCI-IANICAL - ' COMPANY <br /> REGISTCRED Y/ N PCE CURRHNT Y/N <br /> SIGNATURG ' ' � <br /> .License�# <br /> Address ' . ' , <br /> OTI-ICR � COMPANY <br /> RCGISTGRCD � Y/ N FHE CURf�CNT Y/N <br /> s��NA-i�ur�e . <br /> ' License# <br /> Address --- ' "" " ' <br /> ' ' ' " -�-�� R-O-WP�rmltfornewconstruction, <br /> RC5ID�NTIAL Altach(2)Plot'Plans;(2)sels of Ruilding f'lans;(1)sel of Gnergy Forms; <br /> Mlnimum ten(10)worl<ing days afEer submiltal da�e. Required onsifie,Construc(ion Plans,Stormwaler Plans w/Silt Fonce installed, <br /> Sanitary 1=acilities&1 dumps�er;5ii�Worlc Permit for subdivisionsllarc�e projecls <br /> COMMGRCIAL Attacli(3)complete sots of 13uilding I'lans pl�as a Life Safety Pag�;(1)set of Cnergy 1=arm 5 orm at r f'lans�w!Sill 1=ence installed, <br /> Minimum ten(10)worlcing days after submittal date. Requirad onsifie,Consfruction Plans, <br /> Sanitary 1=aciliiies&1 dumpsler.Site Worlc Permil Por all new nrojecLs.All commercial requirements musL meel compliance <br /> � SIGN PCRMIT Attach(2)sels oT Enc�ineered Plans. . . <br /> "***PFtOP�RTY SURVGY required for all NCW construc(ion. <br /> • -i-ia-ri-t-►-rt-Fi-t-ri-�-i-ri-t-r�-i-Fii-�-►a-t-rt-►-►-i-►-ria-i-►-�-rrri+ria-ta-i-t-�-ri-rt-t-i-�-�-i-�a-[a-t-Fi-ia-ia-�-ia-i-t-ia-ia-t-Ft-�aaa-rl-t-rt-ia-i-�-ri-t-�-�-t-�-t-i-�-i-ta-t-�-ta-i-�-i-�-t-i-t-ia-hri-N-�-�-i-i-i-i-t-�-�-i-i-i-t-t-i-I• <br /> Diroc[ions: . • • <br /> Fill out a�plicatlon completely. . . <br /> Owner&Conlractor'sign bacic of application,notarizod <br /> If over�25U0,a Nofiice oi Commencement is required. (A!C upgrades o�er$5000) <br /> ** Agenl(for the contraclor)or Power of P:ttorney(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVGR THC COUNTC�.PCRMiTTING (Fronl oP Application Only) . <br /> RorooFs Sew�rs Service.Upgrades AIC f-enc�s(I'loi/SUrvey/Pootage) <br /> Driveways-Not over Counter if on puUlic roadways.:needs ROW <br />