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uity ot/—ephyrhi\|s Permit Application Fax-813-780-0021 <br /> ' . Building Department <br /> Date Received JA5becw\10� <br /> Phone Contact for Permitting ( <br /> Owner's Name Owner Phone Nurn e 19(0 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mcwcomsrn ADD0\[T �--� SIGN F--1 F--| DEMOLISH <br /> | \ INSTALL [_] REPAIR <br /> PROPOSED USE �—� are [—� COMM �--1 OTHER <br /> TYPE OFCONSTRUCTION BLOCK [--1 FRAME �---\ GTEELBUILDING SIZE SQ FOOTAGE E��Z� HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELEOTFUCAL AMP SERVICE �--1 PROGRESS ENERGY �—� VY.R.E.C. <br /> =PLUMO|NG <br /> |�|�EcHAN|�4L VALUATION___� <br /> =GAG ��—! ' ROOFING �—l � SPECIALTY | | OTHER ' <br /> FINISHED FLOOR ELEVATIONS TU FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> a\omxTVRE mso/mrsnso L_1/ N rEEovn«cm LY/N_J <br /> Address Ir7c,02 License# <br /> ���oTQ|o(AN oo�p�m� PC <br /> SIGNATURE RI Y I �l FEE CUnRE^ <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED LY2��� rsEtunnex L_lINL� <br /> Address Ucenve# <br /> MECHANICAL COMPANY' <br /> SIGNATURE msuIorenEo ` ��y'�_] FtEouxnEx» LY/NL� <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE nsG/snsnEo Y2_N_ Fssounnsx LY/NL�) <br /> A ddress License# <br /> x u x x x u 1 n x x x m n n x x x m m x x x x x`n n 11 o 1Pu m x x u III o u m x n x u m u x x <br /> RESIDENTIAL Attach(2)Plot Plans;(q sets of Building Plans;(1)set nf Energy Forms;R-O4N Permit for new construction, <br /> Minimum ten(1n)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 __� 4w � <br /> COMMERCIAL A�ooh(2)comp|o�o��of Building Plans plus oUfoSa�� Energy <br /> Minimum ten(1O)working days after submittal date. Required ons|te.Construction Plans,S0zrmvwater Plans v/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirementa must meet compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered Kans. <br /> °~°°PROpERTY SURVEY required for all NEW construction. ' <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Fill out application completely. ^ <br /> ovmex&Contractor sign back of application,notarized <br /> If over*25no,a Notice cf Commencement isrequired. (A/C upgrades over$75OV) <br /> � Agent(for the contractor)or Power ofAttorney(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofsifshingles Sowers Service Upgrades A/C Fenuoo(P(nt/Sumey/FootaQo} <br /> Driveways-Not over Counter ifon public madwmya..noudoROW <br /> , <br />