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813-780-UU2U City of 7-ephyrhills Permit Application rax-ssis-rssu-Uuz-' <br /> Building Department <br /> �p tiY <br /> Date R®cetved '` lrn <br /> �, Phone'Contactfor Permitting `��? ,� T`� 7 <br /> 7'rr " <br /> Owner's Name ka Owner Phone Number - �� <br /> OWner°s Address 7. Owner Phone Number <br /> Fee Simple'Titleholde.rName- Owmer'Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <✓ LOT# <br /> SUBQIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT 0 SIGN [� 0. DEMOLISH <br /> R INSTALL. B:. 'REPAIR <br /> PROPOSED,USE• 0 " SFR Q `COMM 0 OTHER <br /> TYPtOF CONSTRUCTION 0 BLOCK = �FRAME Q STEEL ._. <br /> DESCRIPTION OF WORK 'N_ Ii e4 <br /> BUIL:' `SIZE SQ'FOOTAGE� :HEIGHT.• " <br /> r. <br /> BUILDING $ nVALt{�BOR OF TOTAL CONSTRICTION <br /> 9 <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> l � <br /> =GAS Q. ROOFING Q SPECIALTY. = OTHER <br /> FINISHED''FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .BUILDER' t I I SD COMPANY ' <br /> SIGNATURE REGISTERED Y'/ N FEECURREN <br /> Address License.#' <br /> ELECTLItICIAN. COMPANY <br /> -`'SIGNATURE REGISTERED Y/ N "FEE C6RREh <br /> Address` License# <br /> PLUNATPWBER 'Co <br /> SIGURE 'REGISTERED Y/-W ' FEEZURRE�• Y/:N, <br /> Address. License;#-F <br /> MECHANICAL COMPANY• <br /> 'SIGNATURE', `: c REGISTERED Y/.'.N. a FEE CURREA Y/N . . <br /> AiidWW�'• License.#- <br /> COMPANY <br /> SIGNATURE ::i<.t is ;•;- -:. :.;::'': REGISTERED Y/:N FEE-CURREN Y/N <br /> address_ "License`# <br /> „1-,1'^'-•-,_. r},:.- x:r M::' .. <br /> ;R SIDIENTIAL 'Attach;2'.Blot'P-,lens '2,'set§`ofBuil)in `.�?lans' ofEne Forms•-'Wb-; VPermlt r-•riew,construco6m.� <br /> ;.;Minimurr�;ten',10,;yvoracin";;da s after:5utimittal d'ate.:Re`quired'onsite'Constrt ction'Plans,'Sto[iiiinraCer`Plarls whSiit Fence,installed, <br /> :. Sa%tita,;Fxacilitie :1,edum\ste[;$I 's,W.ork PermJt:foi subdi5lsiops/large`.proJects''r;; f, <br /> `;iCQRfliMERCIAL Attach7(2)complet®"sets ofBuildingPlans plus a'L''ife`Safety`Page;(1')set of Energy Forms.R-O-W Permit for-new construction. <br /> a' Minimum ten('10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,., <br /> Sanitary Facilitles&1 dumpster.Site Work Permit`for-,all=neW projects.All commercial requirements must meet compliance <br /> .-IIGN PERMIT "Atfacfi(27 i@Rs':of E(ig nee ed i?lans s= <br /> "'""PROPERTY SURVEY requlred fpr.all,NEW,construction._, <br /> _iDlee_ctloris: ::;�; sr,:;::p •- _ :... ... <br /> Fill,'.. pplicatlon completely. <br /> Owner'&Contractorsign back of application,notarised <br /> °If:over.$2500,a Rotice:Of:Commencement is required. (AIC upgrades over$7500) <br /> ent for'$ie`'aonfractot:rorPoWer.'ofAttome` for the owner would'lie someone with notarized letter from owner authorizing same <br /> `30�fER,T.HE COON TEPt PERWILTTIRtG%:..._• ,.(copy-of;wntract required)•' <br /> ,Reroofs if:sfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter If on public roadways ii&ds ROW' <br />