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�13•7so-ooao Gity a��ephyrhills P�rmit�pplication F�x-893 760-002'f <br /> Bullding Depsrtt�nent � <br /> . . <br /> D�te R��e3ved P�rane Con�ct#�r PermiBttn l�'� � � - '"�� � <br /> ������� a-.�_�..�,:.�. . ..i.Q �._�. <br /> �arrnec'�Wamo � �• �wn�r�hone Nunsber ��-�"'l�"�ip� <br /> �sinor's Addt�ss � � .� Quureer Fho»e Atember �_ � <br /> Feo Simple'CiBlehotdep�iam� � � Oirrner Phon�Numbor 1 � <br /> Fee 5tmple Tittaholdar Rddress <br /> JOB ACIDRES9 � � . � I.OY� �__+„� <br /> eueatv�s�oW 1 1 PARC�L tq9� I�j� � ' ' � <br /> � (08TA1NED fR01A PitOPERTY SAX N07tCE7 <br /> W�RK PROP08fiD � NEW CONSTR 8 ADD/ALT C� SIGN Q Q bEMOLiSM <br /> IN8TALl. REPAIR <br /> p��►o���us� � sF� ❑ co�� � o��� <br /> TYPE OF CONSTF�UCTION � BLOGK Q FRAME � STEEL Q <br /> DESCFtiPYIdfV OF WORK /\ � -2 '. (�( I • 1� • � d . <br /> BU1LDtNG Si7le �� � SQ FOOTACiE� MEICsH? �_...� <br /> D��f�'���� �C"�� 1� � """ VALUAT(ON OF TOTAt�CONSTRUC710td <br /> �ELECTRtCAC ��� AN1P S�RVtCE Q PR4GRE8S ENER�Y � W.R.E.C. <br /> �PLUft+t8lNCa ��� <br /> �MEGNANlGP�L � � VALl1ATtOt�OF MECF#ANICA�ifliSTA�.LAT10N <br /> j��as �, �oo�r�vo 0 s��cra�.n Q om��t <br /> FINISNED FtOOR ELEVATIONS ���--r� FLOOD�ONE AREA [,,,�YES Nq <br /> �t1il.DF.�3 —�. �. , COMPAt�Y ! <br /> 31G{VATUi$E REGI9TEAED f�1 FEE CURF'tE� 1 hl <br /> Adarta� � � f�-�'-- i�cense� C�s=-,�„�r'�.�L1��i � <br /> �l.ECTRtC1A�SS � C�}�IP�Y <br /> SIGNA'Y'URB �cisrEaEo Y/ N �e cuw�r Y 1 N , <br /> Ai�dFessa L7C2i18���� � .._.� <br /> PLU�lDB�� � CO�YIPA414Y <br /> SiG{M1�t�Y�I� REf316TERED Y/ iV FEE CURRE� Y/(V <br /> AddtBES �iCenS6# � �� <br /> Al1EC�l,�4!ltCj4l. C4MPANY <br /> SK3�`�A"PURE REGtSTERED Y! N FEE CURREA Y/N <br /> +��CO3E �IG2AS�� � � <br /> OTHER COMf�ANY <br /> S1�t�A'PUR� ��rs��o Y l N f�cu�r Y I N <br /> Adc�resa Llcsnse# � � <br /> 9D � � � B9 � 9aD9D46D � � UPdtaAA96i � D � 98CPGlEB6 � 6b90DiDDd � � 19it1 �pii9D1ESDB� <br /> RESIDENTIAt. Attach(2)Plot Plans;(2)sets of Buitdine Plans;(1)set of Energy Forms;f�-O-W Permif far new canstruetian, <br /> Mtntmum ten{1Lt}waRctng Gays afT�r subrrs3ttal dais. Requlred onslte,ConstcucUan Ptans,Stosmwater Ptans�ri 5112 Fence lnsta3ted, <br /> , Senitary Facilities&1 dumpster;Blte Work Permit for subdivisionsAa�ge projects <br /> ' COMi�El�Ci�l. Atkach(2)compiets ssts of Buiiding Plans plus a Ufe Safety Paga;(1)set of Energy Forms,R-O•W Permit for new construction. <br /> Minimum ten{10}wptktng dsys after submltEai date. Required onsite,Cortststsatian Plans,Stormwater Plans wl Silt Fence instal4ed, <br /> San�tary Facilities&1 dumpater.8ite Wark Permit far all new pmJects.Atl cammerctai raquirements must meet compliance <br /> �IC3f�pERMtT Attech(2)sets of Engtneered Plans. <br /> °°�""'PRflPERTY BURVEY teq�ited ior aIl i�EW cortstrucEion. <br /> Direction�: <br /> F1110ut�ppllCflti6n ct�mplBt8ly. <br /> Owner&Contractor sign back of appifcaUon,notariaed <br /> !f over�2600,a Notice of Commencom�nt Is required. {AIC u��radqe ovo��7800y � <br /> '" ,4gent{for the cantractor}or Powar af A##amay{far ihe owner}would be satneane with na#&riaed letier fratn aw�ter authorfting same � <br /> OVEP�THE COU�fTER PERMITTINt3 (oopy of cqntract r�quired) I <br /> Renaafs if sh3ngtes Sewars Senrtce Upgrades AtC Fences{PEotlSunreyiFootags} <br /> Drivoways-Not aver Counter if on pubUa roadway�.,naeds ROW <br /> � <br />