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--U-,Ity�ot Z-ephyrhills Permit Application 3-7B0-0U21 <br /> Building Department <br /> Phone Contact for Permitting <br /> wner's'Name Owner Phone Number <br /> Owner's Address 33 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> (OBTAINED FROM PROPERTY TAX NO-hCE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> Ef' INSTALL E REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT _ <br /> =BU|U0NG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRCAL AMP SERVICE F--� pRDGREOGENERGY �—1 YV.R.E.C. <br /> =PUJMB|NG <br /> �--l�ECHAN|\�� MECHANICAL I _� <br /> �_� <br /> =GAS r�+l ROOFING <br /> ' �—l � OPGC|ALTY F-7 OTHER <br /> FINISHED FLOOR ELEVATIONS co FLOOD ZONE AREA =YE8 NO <br /> BUILDER COMPANY <br /> a\oN*JuRE nEm/arEnso LY/ -N 'EEu»xxE^ LY/N_� <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nsa/ereReo LYl N | ' FetounRE^ <br /> Address License# <br /> PLUMBER I COMPANY <br /> SIGNATURE Rso/orsRso L22 N pseICunRsN L7/NL� <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ` UY VN ] FitE CUnREx« <br /> Address License# <br /> OTHER COMPANY <br /> a|mNA0RG REGISTERED LY/ N I pEEuunRsx LY/N ] <br /> ' <br /> A ddress Qw 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(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1dumpoter;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,Siormwater Plans v/Silt Fence installed, <br /> 8an|taryFud\itien81dumpnbr.S|1nVVorkPenn|tforo||newpo8edts./A\commancia|mquiremantemuotmeotoomp|ianoe <br /> SIGN PERMIT Attach(2)sets uf Engineered Plans. <br /> **~°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. ^ <br /> Owner&Contractor sign back nf application,notarized <br /> If over*25ou'a Notice or Commencement isrequired. (AIC upgrades over$75DO) <br /> � Agent(for the contractor)or Power nfAttonna�(for the owner)would be someone Withnotarized letter from owner authorizing same <br /> ' <br /> OVER THE COUNTER PERMITTING (copy of required)contract <br /> Remo�ifshingles Sewers Service Upgrades A/C � Fen�m(P|oVSune�Fo�aga) <br /> ' <br /> ` c��wway�N��ov�Cou�or�onpubUnmud*aye'neadaROVV ' <br /> ! <br /> _ <br />