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uity of /ephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received F Phone Contact for Permitting <br /> Owner's Name Owner Phone <br /> a Number 9a <br /> Owner's Address 343�Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (.4- Sveo-8 Pot Sj (L *33 LOT# <br /> SUBDIVISION ll Da 0�Ava -4's-i ARC 6fST) C--,JS-Q& 0106 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL F <br /> DESCRIPTION OF WORK W Ifq U , I Q <br /> \J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $I VALUATION OF TOTAL CONSTRUCTION,Li!,Ej <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.F.C. <br /> =PLUMBING <br /> is <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> opt <br /> GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ut�:hn nc <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address 7 License# <br /> 7 <br /> ELECTRICIAN 7 <br /> COMPANY <br /> SIGNATURE -5�m(�o (771.rq4�,e <br /> —1 REGISTERED Y/ N_ "I' FEE CURREN /N <br /> Address 51A'T_ &ALk4 5&-;WA 21-k� 1 License kj o b � <br /> PLUMBER ct COMPANY <br /> SIGNATURE F,q REGISTERED Y/ N I 'FEEICURREN L_11N _J <br /> Address lom 46 b[d License J CF C 14 Z 3- )3 3`- <br /> MECHANICAL COMPANY , Ri r <br /> SIGNATURE REGISTERED VVN FEE CURREN Y/N <br /> Address D:,Sl\2Y License# FCA US 33-W <br /> OTHER COMPANY ly-flA hc & <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# I cc <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 wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects I <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy F6i•m__S_'.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 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 /> Directions, - - - - - - - - - - - - - - - <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 A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />