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Fax-813-780-0021 <br /> 813.780-0020 City of 7_ephyrhills Permit A plication j <br /> Building Department <br /> i <br /> Date Received <br /> If <br /> a X 11 Y�� Phone Contact for Permitting I✓ 7�� ri <br /> Owner's Name ✓& Owner Phone Number OU l;2_,277&_6 <br /> Owner's Address 6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LLOgTfl <br /> SUBDIVISION O I J PARCELIDt! II�Z�' Z��Do�o-�1cTiG�}'�lJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED ,B NW CONSTR BALL RADD/ALTEPAIR O SIGN DEMOLISH <br /> PROPOSED USE SFR COMM I T I OTHER <br /> TYPE OF CONSTRUCTION O BLOCK Q F�+RA�Mg�E O STEEL O <br /> DESCRIPTION OF WORK / Q W S S 1 / , <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> O BUILDING $ Q r VALUATION OF TOTAL CONSTRUCTION -J <br /> OELECTRICAL $ a AMP SERVICE P�H( t��[SS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ! `J,I <br /> �v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION aT <br /> 2 <br /> �� As <br /> GAS ROOFING SPECIALTY O OTHERFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ,OYES NO `� <br /> k#jo <br /> BUILDER COMPANY D I <br /> SIGNATURE REGISTERED Y' N FEE CURREN Y/N <br /> Address 0 /mil t C! a�/7t /'(� License 0(o fU <br /> ELECTRICIAN I eP-AN7 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License ft F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 11 Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY f <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License 4 r j <br /> Itllllllllllllllllllllllllllllllllllllllllillllllllllllllllllllltlll <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&1 dumpsler,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directionf: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />