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Oc t. 24. 2019 8;46AM City of 2ephyrhills Permit Application No. 054 i-ax-aP. lmzl <br /> Building Department <br /> Wr0e rrrrr ea Phone ContactforPemrMn i3 �G - 3rtG <br /> Owner's Name ;t 4611 ' Owner Phone Number <br /> Ormer'sAdrkess 39/36 ea Rry 44-- OwnerPbonoNrmrber <br /> �r�h yr�ti rI1. t'G �� Owner Phone Number <br /> —ram <br /> JOB ADDRESS f Z. LOT# <br /> SUBDIVISION PARCELIDff /'2�G"� /'Q/Q0 far"ATI& <br /> (OBTAINED FROM PROPERrYTAX W"CE) <br /> WORK PROPOSED NEW Mt6a ADD/ALT SIGN Q = DEMOLISH <br /> e INSTALL 8 <br /> PROPOSED USE 0 SFR COMM Q .OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = (' <br /> DESCRIP,11ON OF WORK c //G )e4%V/7/84. ., <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S � ALUATION OF TOTAL CONSTRUCTION <br /> II ELECTRICAL $ ; AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> PLUMBING $ ! <br /> �y,Lt c�5MECHANICAL S VALIIATtON OF MECHANICAL INSTALLATION � 9VI <br /> I <br /> =GAS = ROOFING = SPECIALTY= OTHER. <br /> FINISHED FLOOR ELEVATIONS ti FLOOD ZONE AREA =YES NO ` <br /> BUILDER a/"' COMPANY <br /> SIGNATURE /" REGISTER® Y/N FEE CLOD? Y I N <br /> Address 37?'7 A&, ;I+ Xfkg! Lcense# Cler- /3•Z ?G/2- <br /> 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECURRS N <br /> Ad I <br /> ress Lioensa# I <br /> PLUMBER COMPANY <br /> SIGNATURE REDSTERED Y/ N FEE cuRRB Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGSTERED Y/N FEE wwtftLY/NJ <br /> A ldd. License#F I I <br /> OTHER, COMPANY [ _ <br /> SIGNATURE REMYERM I Y N I FEE amRM Ly <br /> /N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans(2)sets of Builing Plans;(1)set of Energy Fors;R-O-W Permit far new construction, <br /> tAnimam tan(10)workipg days after submkW date. Required onWA Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary FacWes&1 dumpster;Site Work Permit for subdivhsionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.RAW Permit far new construction. <br /> Minimum ten(%waddng days eftersubmktat date. Required onstte,Construcion Plans,StomhwaW Plans wl FA Fence Intoned. <br /> Sanitary Faeiitles&1 dumpater.Site Work Permk for all neiv pMec(L AD commercial requirements must meet compliance <br /> SIGN PERMIT •Attach(2)sets of Engineered Plan§. <br /> '—PROPERTY SURVEY mgh/ired for all NEW construction. <br /> Directions:• . <br /> FAi out application completely. <br /> Owner&Comra for sign back of appllcadon,nopdmd <br /> If over VS00„e Notice of Commencement is requited. (AIC upgredes Deer S7500) <br /> Agent(for the wtractor)or Power of Attomey(far the owner)would be someone with notarized left from owner audxftng same <br /> OVER THE COUNTER PERMfTTING (copy of contract required) <br /> Raroofs if shingles Sewers.. Service upgrades A/C Fences(Plot/Survey/Footage) <br /> DdI -ys-Not over Couaw if on public roadways-news ROW <br />