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813-780-0020 City ot �ephyrni��s Nermit Hppucation ran-o�r�ou-u�ci <br /> Building Department <br /> . � <br /> Date Received Phone Contact for Permittin – <br /> Owne�'s Name � T a� � r Owner Phone Number <br /> Owner's Address � r Owner Phone Number � <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � ! <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT <br /> QBUILDING $ —� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> U . `'-� <br /> QPLUMBING $ <br /> � f � ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY /° ! � �'%/�7 t'' /` L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Address 3 S�G� ,3.�� License # �� 3 Do /3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Wor1c Permit for subdivis(ons/large projects <br /> COMMERCIAL Attach (3) 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 FaciliUes & 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 requlred for all NEW construction. <br /> Olrectlons: <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 Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicafion Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..�eeds ROW <br />