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���-��w���� �ity ot�ephyrhilis Permit Application Fax-813-780.0021 <br /> Building Department J �=�__�� <br /> te Recelved � M `3 �� � Phone Contact for Permitt � 2�� �"l 'Q _! <br /> rner's Name � g� Owner Phone Number t�� ��� "1 ��3�� <br /> rner's Address 3�0�� Z�.t��S �_�3s4 6 Owner Phone Number S�u. <br /> e Slmple Tltleholdar Name S � CG( I ��f C O Owner Phone Number S�"�"� <br /> e Simple Titleholder Address 3�(�1� V �I` T�r � LP� l� � ��d <br /> B ADDRESS �Vl� I 'V �. I�S �( � �1 Q�1 (D IV LOT# � <br /> �BDIVISIOM PARCEL ID# �3`�b"'�.1 � pl�l� '� ����Q — Q � (j <br /> (OBTAINED FROM PROPERTY TAX NOTiCE) <br /> )RK PROPOSED B NEw CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> .OPOSED USE Q SFR Q COMM Q OTHER , � � <br /> PE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> SCRIPTION OF WORK S 7'�L C� vv /V�h � ���i/7 <br /> �ILDING SIZE 10� 3b SQ FOOTAGE � � 6 HEIGHT `I S''�'U/1'e <br /> �BUILDIIdG $ VALUATION OF TOTAL CONSTRUCTION <br /> �So�� a <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGIL—��W,^_��\ <br /> OPLUMBING $ � <br /> �������,� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> IISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , n ,f <br /> P ( ��� <br /> iNATURE ����� '�� MPANY i�� �}'j1'�G�- 1�SGnS�j�.C� <br /> REGISTERED / N FEE CURRE� /N <br /> address 3b �f �e � j 33S ucense# cGc o�66y�, <br /> ECTRICIAN COMPANY <br /> �NATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass <br /> License# <br /> JMBER COMPANY <br /> �NATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> aaares$ <br /> License# <br /> CHANICAL COMPANY <br /> NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' <br /> License#, <br /> �ER COAAPANY <br /> MATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> iIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit far new construcUon, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary FacillUes&1 dumpster;Site Work Permit for subdlvisionsAarge projects <br /> AMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construc8on. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster,Site Work Pertnit for all new pro)ects.All commercial requlrements must meet compliance <br /> N PERMIT Attach(2)_sets of,Englneered.Plans. - --- - — ---~ <br /> � ""PROPERTY SURVEY�requfred for all NEW construcdon. <br /> ctlons: <br /> FIII out appNcatlon completely. <br /> Owner&Contractor sign back of appltcation,notarized <br /> If over�2500,a Notice of Commencement is required. (AIC upg�ades ovar 57500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authoNzing same <br /> ;R THE COUNTER PERMITTING (Front of Applica8on Only) <br /> iofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)� � _ <br /> Drtveways-Not over Counter ff on public roadways..needs ROW �_ � - <br />