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�,s,at,-�,��u c:,ity ot tephyrhilis Permit Application Fax 813-78Q-0021 <br /> Building Department <br /> te Recetved p ne Contact for Permittin — <br /> n <br /> vner's Name .---� Owner Phone Numbar �' � � � <br /> 0 <br /> rner's Address � Owner Phone Number <br />' s Simpte Titlehotder Name Owner Phane Numbe: � � <br /> s Simpla Tittefioider Address <br /> �B AQDRESS LOT# � <br /> IBDIVISION �` � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX N0710E) . <br /> �RK PROPOSED � NEw co�srR 8 AOQ/ALT � SIGN [� �] DEMOI.ISN <br /> INSTAI.i. REPAiR <br /> ;OPOSED USE �] SFR Q COMM [� OTHER <br /> PE OF CONSTRUCTiON BLOCK Q FRAME � STEEi. Q <br /> ;SCRIPTION OF WORK yY � J� /'` <br /> �itDiNG S12E �_,____„_� SQ POOTAGE NEIGHT ��� <br /> �����»r" ' �' ��r�,p��� VALUATION OF TOTAL CONSTRUCTION <br /> ' QELECTRlCAL (;6� AMP SERV4GE [� PROfi�RE3S ENERGY {� W.R.E.C. <br /> � L <br /> �PLUMBING (S6� <br /> i � <br /> [�MECHANICAL ($-- —� VALUATION QF MECHANICAL INS7ALLATION <br /> �' �� <br /> QGAS Q ROOFtNG [� SPECIALTf � OTHER <br /> �I 14SHED FI.00R ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> i <br /> ILDER f�j )� L,,�- COMPANY ����� <br /> iNA1'URE � L r/ �7��r '/ f R��ts7�t�a 1 N FEE CURRE� Y/N <br /> � Address License# � � <br /> �i <br /> "CTEtICIAN CQNlPANY <br /> i �NATURE REGISTERED Y/ N FEE CURREh Y/M1) <br /> Address Ucense# � ---� <br /> 1M9ER COMPANY <br /> �NATURE REGIStERED Y/ N PEE GUF2RER Y/N <br /> Address L.icettse# �r � <br /> CHANICAL COMPANY <br /> NATt7RE REGISTERED Y/ N FEE GURREI+ Y/N <br /> Address —�+�r L.icense# � �� <br /> iER � COMPANY <br /> ($ATU12E REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licenss# �� ��� <br /> iIDENTlAL Attach(2)Plot Plans,{2}sets of Buildfng Plans;(1)set of Energy Fortns;R-C?-W Permit for new construc8on, <br /> Mfnimum ten{10)warking days after submittai date. Requlred onsite,Construction Pians,Stormwater Ptans w/Slit Fence installed, <br /> Sanftary Fac0lUes&1 dumpster;Site Work Perrnit for subdivisionstlarge projects <br /> AMERCIA!» Attach(3)comptete sets of Suitdtng P1ans pius a life Safety Page;(1)set of Energy Forms.R-O-W permit for new construcUan. <br /> Mlnfmum ten{1d}warktng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for ali new projects.All commercial requtrerrrents must meet camplfance <br /> N PERMIT Attach(2)sets of Engineered Ptans. <br /> ""PROPERTY SURVEY required far ail NEVtI cansttucNon. • <br /> ctions: <br /> Filf out appifcation compteteiy. <br /> Owner&Cantractor sign back of applicatian,natarized <br /> tf over�2500,a Notice of Commencement Is required. (A/C upgrades over�750aa <br /> Agent(for the contractor)or Power of Aktomey(tor the owner)would 6e someone with notarized letter from awner�authoriztng same. �, . ,, , . . ,_ <br /> ;R THE COUNTER PERMI'tTtNG ;. (Front.af,Appticatian Anly)�� . � , ' � � ''�' ' � ' <br /> �afs if shingtes Sewers Senrice Upgrades!NC�� ,.Fences(P1oUSuivey/Foatage) �� ,' . � ''' ' ' �• � <br /> � x � , . ., <br /> , ; ;c�,�,,., -, . .�,�-.r:��r , , ; .__ - •'_ . <br /> Drtveways-Not over Counter if on pubtic roadways..need§BOW? , � � _ . ....,�, ,_ __. ,�,� , � . ; _ ° <br /> �.. <br />