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813-780-0020 City of 7ephyrhilis Permit Application Fax-813-780-OD21 <br /> Building Department <br /> Date Received Phone Con ctfor Permitting WM )&7-713 <br /> Owner's Name Ne,'� Number <br /> Owner*s Address Fe—enq=��� 9wner Phone Number <br /> Fee Simple Titleholder Name X�Iiwner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 7 c--r <br /> zu,5, rL LOT#I <br /> SUBDIVISION PARCELID# (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR - Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK srw-r-rew <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING % 3 J VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> ( Cf 36 <br /> =MECI-MICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F--J SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS :1 FLOOD ZONE AREA =YES NO <br /> . . . . . . . . .. . . . . . ... . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER qop COMPANY <br /> SIGNATURE GiSTERED Y/ N FEE CURREN LZ2 N_J <br /> Address es.'e, -F 2019,wad,,s In.— 3 s 1g"/l License# Fca a i z i i 3 e,=6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F- REGISTERED FEE CURREN LILN_J <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y I N <br /> Address I License <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED 4 FEE CURREN I Y/N <br /> Address License A <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y1 N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I durripster:Site Work Permit for subdiVisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1101)woqkip 6y" <br /> days submittal date. Required onsite,Construction Plans,Stofmwaler Plans w/Silt Fence installed, <br /> y 107 <br /> n—i—t. All <br />