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� <br /> s��-�aaoozo �ity of�ephyrhills Permit Applicatlon F2uc-893-'ao-ooz� <br /> Buttding Department <br /> Date�teceived � Phone`Contac�for PermifNn <br /> Owne�s Name '� Q� Os�rner Phono Alumber <br /> OwneCs Addsess � � l, � t3w¢�er Phane Na�Yser � � <br /> Fe�a Simple Titlehaldee Name Own�r Phone Number � � <br /> Fee Simpl�T(tleholder Addresa <br /> /r/�� --�/ yy � <br /> JOBADDRESS �Q� � l L.1V Y ��1���l� ll.. �.�- � LOT# (Jf�� <br /> sue�ivis�oN � ` ��C�. � PaRc��io� �� - � -a '-��l C) -OfJf.�DL� -C�O�I l� <br /> . {OBTAINED FRQII�PROPERTY TAX NCTiCE} <br /> WORK pROPOSED , e NEW CONSTR 8 ADD/ALT �J' SII3M Q Q DEMOLISH <br /> INSTALL REP�IR <br /> PROPOSED,t1SE Q SFR [� COMM � OTtiER <br /> TYpE OF CONSTRUCTiON � BLOCK ' Q FRAME � S7EEL Q <br /> DESCRIP'170P1 dF WORK I c. � <br /> BUILDING�IZE SQ FOOTAGE�� HEIGHT . � <br /> �g�i�t�C' �� VALUATION OF l`OTAL CONS7RlJCTION <br /> �J <br /> QEIECTFitCAL •��—=--� AMp SERV{CE' - Q PROGRESS EHERGY CJ W.R.E.C. <br /> QPLUMBtNG $ � lJ �� ` �j�i�./ <br /> 0�11ECNANICAE. $ VALUATtON OF MEGti�itCAl tPISTA{.R:ATiON � � t� <br /> � <br /> QGAS Q ROQFING .Q SPECIALTY [� 4'i'NER <br /> FIfdISHED FLOOR ELEVATIOPJS � � FL04D ZOfdE ARE�► QYES. .NO <br /> BUIL�Eit GOMPANY <br /> SIGNATURE REGISTERED Y/ N �s Curt�n Y/N <br /> Address Lfcense# � � � <br /> �I.ECTRICIAN COMPANY <br /> SIGNATURE � RHGISTERED Y 1 N �CURrt�� ' Y/N <br /> Addr�sa � Ucense# ( � <br /> f�4UMBEi3 COt�IPAfl1Y � - YV` ��I{� <br /> SIGNATURE REGISTERED Y/-N. FEE Cu�n Y/N <br /> Add�ress U�t `I'►� �„'.'(�1 •License# t..�t,'"�`1 �f CJ a � <br /> �iEECH�IICAL COMPANY <br /> SIC3W�ITURE �GiSTert�n Y/ N �CU�En Y/N <br /> Addreas Licensa# � I <br /> t}THER ,COMPANY - <br /> SIGNATli1�E � I�GISTEREn Y/ N._ FEE CuwtEn Y/N . <br /> ktddres� - - License#•�� I <br /> RES1DEt�T1AL, Attaali(2)�Plci€;Plans;(2}"sets.bf 8uililing�Flaris:(i}set of EnergyFaims;R-C3-1At Perinit ior Rew constsuctian� <br /> � - Minimum.ten°(10)working:days aftec;submitt�l�date. Required ons(te,Consdvcdon:°Plans;Stormwate�Plans w/SIIt Fence instelled, <br /> Sanitary FaciNtias-&.1 dumpster;$ite Wosk-Permit far suhdivistonsRa�e pro�ects � ` ° <br /> COPJIMERCIAL Attach(3)corrrplete sets of Buttding Piarfs ptiss a life Sateiy Fage;(1)set of Energy Farms.R O W permit for new'construu�tlon. <br /> MiNmum ten(10)working days after submitt�l date. Requtred onsite,ConsGvcdon Pians,5tortnwater Plans w/Silt Fence installed, <br /> Sanitary Facltitiss&1 dumpstet�.Slte Wark Pemsit for ait netiv projects.A!1 commerciat reqntrements.must meei compfiance <br /> SIGN PERMiT Atmc#i(2)-sats of Engineered Ptans.. <br /> �"�PROPERIY SURVEY required for all NENV constructlon.. <br /> Directions: <br /> Fill cut applicatlon completely. <br /> Owner E�Contractor stgo back af appllca#�on.natacized � <br /> ff ovor$2500,a Notiae of Commencement is required. (�iC upgead�s over Si�500) <br /> '" Agent(for the contractor}or Pbu+rer ofABomey(for tfie owner)would be someone wdth notarized letter fram owner authorizing same <br /> C1VER THE COUNTER PERMITTING �(Front of Application Only} <br /> Reroofs if shingles Sewers Service Uqgrades A/C Fences(PIat/Survey/Fooqge) <br /> DPivewr�ys-Wot over Counter ff on pubiic roadways..needs FiOW <br /> I <br /> � �-��`-� , ._ - _. `� --- " - _ . -- _- . <br />