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513-1du_uUZU L;ity pt/-ephyrhills Permit Applicaboh FaX-1:113480-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 1( )ULC) <br /> ex a a-a a its r I I.I I I ... 1)5 <br /> Owner's Name Owner Phone Number <br /> OWAees Address ho—VA-C—) S t2a-ten-c, RI1 y) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 l t _C' LOT# <br /> SUBDIVISION CQ PARCEL ID#1 03- .Ip- 21 — 0— OOD 00- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> R <br /> WORK PROPOSED NEW CONSTR REPAIR <br /> ADD/ALT SIGN DEMOLISH <br /> INSTALL <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK F oo <br /> BUILDING SIZE <br /> I SO FOOTAGE HEIGHT <br /> "VIL X X X X Q.C C X WE X X VVE <br /> BUILDING 1$_� �Je VALUATION OF TOTAL CONSTRUCTION <br /> Z�=_LECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> 1 I <br /> rs�PWMBING <br /> P�.' ?jW W1&7- <br /> VD) <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY F­1 OTHER <br /> KD9 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO &114 1 <br /> 7 <br /> BUILDER COMPANY I—T'--I'lP <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I YIN <br /> Addres License# 1 ICY-,C, I 16�9394 I�o <br /> ELECTRICIAN COMPANY k t V-1 na rno'-1 -C .Cr <br /> SIGNATURE REGISTERED Y/N FEE CURREN I YIN <br /> Address License# 3 b <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN , FEE CURREN I Y/N. <br /> Address License 4 1 r-f=-('-144 7S 9 WEE <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN LiLN-i <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE I REGISTERED I YIN FEE CURREN L_yl N <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 dumpster,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(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 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 /> ---------- <br /> TwiGIts- <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />