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city of 7ephyrhills Permit Application Fax-81 3-780-002.1 <br /> Building Department <br /> ). ' <br /> Date Rec6ived Phone Contal ct for Permitting F(dis�;e_CkUC\)Qi(%k_E G?trkor11Mcom <br /> INS IF-U-1 <br /> Owners Name owner Phone Number <br /> Owner's Address Ma owner Phone Number <br /> Fee Simple Titleholder Name Wg- I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Lto n\," Reoa 7,0012 i ly,rA �3� LOT# <br /> SUBDIVISION PARCEL-11)# Z 25 Z d 618" QYYQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD!/ALT u SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR . 0 COMM I i OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION'OF WORK yv 5%mlp (�vviiW re siJery--c 3- t-) ecl _Z- <br /> 'J ' - '14� <br /> BUILDING SIZE SQ FOOTAGE . 4 HEIGHT <br /> . . . . . . . . . . . . . . . . . . <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 07,C0 '1 <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> oo <br /> =PLUMBING S <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPEC,IALTY OTHER <br /> FINISHED FLOOR ELEVATIONS i-LUULJ ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y N FEt CURRE� L_IL N_J <br /> Address —7 a M License <br /> ELECTRICIAN > COMPANY S+r_0 <br /> AQ Elecf_n- C <br /> F _CGRREN Y_/N <br /> SIGNATURE REGISTERED Y/ N FEE <br /> Address Eno a phir License# I EC. 0(3* 4- IS- <br /> PLUMBER COMPANY .4 kwy" plltmb;'�A ao <br /> - I - _L2 N <br /> REGISTERED FEE CURFd, <br /> SIGNATURE _L__j <br /> Address 'Rh\/- 1w-12, -TpkDa' -1,361-Z-1 License# -7c_oq <br /> MECHANICAL COMPANY P1r03Ves5'1\J'e_ <br /> .f, <br /> SIGNATURE REGISTERED 11(/'N FEE CURREN -tlj/N _J <br /> Address 5-q 0 7 p)on 6,r C_' W e W 116, License# I <br /> OTHER COMPANY r6LA kc-amid <br /> REGISTERED Y/ N FEE CURREN <br /> SIGNATURE N <br /> Address 1314S 4, Nal PA L License# I aL so 3 <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 dumpster;Site Work Permit for subdivisions/large 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumoster.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 /> . . . . . . . . . . . . . . as . . . us . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions:- - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A(C upg'rades 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 (copy of contract required), <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footag6) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />