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813-780-0020 C;ity ot �ephyrniiis rermit Hppiication rdx-o i�-iov-uvc i <br /> Building Department <br /> M 0,.� t� �F� <br /> Date Recelved . Phone Contact for Permittin ��3 2�9 — �T �D� <br /> Owners Name ��NR� �� y Owner Phone Number (� 1 �'/ 3� ��yS�° <br /> Owner's Address 7 � 3 7 W �-�, f� �.-� � N � Owner Phone Number � ^ � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� 3 / W �� A��\ � 2- � R�1' �� S fL 3 3 Sy � LOT # 7� <br /> SUBDIVISION ��S�t�leLv �' ��S PARCEL ID# 3�� ZS'� � Olzo - DO00 - D76o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PRdPOSED USE � SFR � COMM 0 OTHER <br /> TYPE OFCONSTRUCTION � BLOCK 0 FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK � S � l I 2 S� G�" Ui N C�tn�C2 t / - h � � J�ATe <br /> BUlLDING SIZE � SQ FOOTAGE HEIGHT <br /> � BUILDING $ /�q 2� VALUATION OF TOTAL CONSTRUCTION <br /> �O ! <br /> 0 ELECTRICAL $ AMP SERVICE , � PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ � � f /�S I <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> 0 GAS 0 ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO � <br /> -2�09' S ON��A <br /> ` e ev avu� ro <br /> BUILDER COMPANY .Yl , <br /> SIGNATURE '� REGISTERED N FEE CURRENT Y/ N <br /> Address 9 f ��c'�.� ��/`3`� � �2�,q .ic.�o �C. 3 g$ 7� �icense # 1 C 1 ���"�"� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address Ucense # <br /> MECHANICAL COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address . License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ 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) woricing days after submittal date. Required ons(te, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facflities & 1 dumpster; Site Work Permft for subdivisions/large pro)ects <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />