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U13-7a0-0020 City Ot Gephyrhills Permit Application r-ax-tn 6-1 av-vuci <br /> Building Department <br /> Date Received = /�? <br /> + Phone Contact?for'Permitting <br /> Owner's Name r_44,4 61 t1k, zg /'�1!%1S Owner Phone Number <br /> Owner's Address `�°� ���'' � �f~I�L� Owner Phone Number,.`�- <br /> r <br /> Fee Slmpl®.Titleholder Name". Ownee-Phone Number ' <br /> Fee Simple Titleholder Address p <br /> JOB ADDRESS ����-� ►`t or I,(-%,uC 2e -/j 1-A1,1I•S 33Sq"T LOT# <br /> SUBDIVISIOPI' PARCEL-ID# <br /> (OBTAINED.FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW'CONSTR' ADDIALT 0 SIGN [� 0. DEMOLISH <br /> B INSTALL: 8 °REPAIR <br /> PROPOSEMUSE. - Q SFR E :COMM 0 OTHER <br /> TYPEOF GONSTRUCTION' 0 BLOCK Q i:FRAME Q. " ST�E•EL Q <br /> DESCRIPTION OF WORK /�5'�C+� t o, V�+f'f1�SQ •�v/-� � C < 1 <br /> BUILDING$IZE SQ'FOOTgGE HEI <br /> • GHT:- <br /> ' I <br /> ..1444444 <br /> QBUILDING $ VALUAT:ION'OF.TOTAL CONSTRUCTION ` <br /> Y <br /> =ELECTRICAL $ AMP SERVICE 0. PROGRESS ENERGY Q -W.R.E.C. <br /> QPLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSlALLATIQN- l !(Q <br /> =PAS 0 ROOFING- 0 SPECIALTY. Q OTHER <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> ;BUILDER , COMPANY <br /> SIGNATURE REGISTERED Y`/ N: FEECt1RREN Y/N. <br /> Address •License,#' -! v L <br /> ELECTRICIAN YF5 COMPANY <br /> ;:SIGNATURE REGISTERED Y/ N . ,FEEidUkREh.. ' Y/N.J . <br /> Address Licensee#. <br /> PLUM®ERi, COfiIPANYc <br /> -SIGNATURE REGISTERED ._ Y".N,-'1. FEECUWk.1.. <br /> Address. License,# <br /> :.RECHANICAL COMPANY <br /> •;SIGNATURE::' `'REGISTERED Y/."N FEE;CURREN Y-/N . <br /> license.# <br /> OTHEFt`s :: .•;; COMPANY <br /> REGISTERED Y/:N FEE:CURREN' Y/N <br /> Addr®ss;:,.r, ,•r -r__ a ;:�. Li6ense <br /> F41.2:}•C.,: ".ni p. ?i: •(. <br /> a, f "s" -0 P 1. 'r risstruction <br /> ESI EW IAL� ,:4Attaciu:(2),FIatF?,lans (2)Set§of'8uilning;Plans Ener9YFQrm ,R. ,V11 erm t fo e, n <br /> ;. <br /> .r,:-Wlihimurrr'ten 1.0,•;y oradq";;da s aftet_subrp9ttal date <br /> .-Required onsite Corsi to coon Plans;`Sto tlwater'Plaris w%Stlt Fence:installed, <br /> .. , :Y <br /> 1y. f. ,z <br /> Saul aciilties8�+gldwm ste;a8it`,WorlPenniGfor sub iiiisiops/la. eV ro <br /> V..r..,,.._._. _u <br /> MMERGIAL AttaW(2).complete`s'ets'of'13uilding"Plan`s plus a'Ll e'Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction <br /> Minimum ter,(10).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.,installed, <br /> -Sanitary Facilities&1 dumpster;Site Wor�C Permit fog ll:?n6W projects.All commercial requirements must meet compliance <br /> 4 -•�:., <br /> f31GN PERMIT `AttaoTi"; setsofq(rrJgineeredPlans <br /> ( _,._. <br /> ""PROPERTY SURVEY required for,all NEW construction:_ <br /> _ . <br /> `iDlrections <br /> fIII°`out application completely.~ <br /> Owner.&Contractor'slgp:back of-application,notarized <br /> a. --if:'over.$2500;.a Notice>,of;Commencement is required. (A(C upgrades over$7500) <br /> Agent(fdr ttie caritractor)�orPower'of Attorney°(fbf'ttie owner)W uld-tie someone with notarized.letterfrom owner authorizing same <br /> ''OVER:THE:COUNTERP ,RMLTTING`..,.,. ..(•copy of.contractrregwired) '` "`' <br /> Reroofs,ffaliirib -s Sewers :Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter lion public roadways::needs'ROVU` <br />