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Jul 18 il 03:38a SHELLI LOUGHREY 352-236-7068 p,z <br /> , e�aaeo-oo2o City of 2ephyrhill5 Permit AppliCation FaX-eia-�eo-oo2� <br /> ' �� BwWing Depertmarn <br /> Date Rsceived - (� -' pha�� Conbet lor Parmfqf <br /> TfTT � <br /> n Q�� r���" . V � <br /> Owner's Name f ( � S V Owner Plane Number SO�' � 7.JU� e oe� f� RQ �� <br /> Owner's Addra�a � � n Ownsr Phons Number � <br /> Fee Simple Titleholder Nsme � � Owner Plam Number <br /> Fee Simple TW ehoider Addreas <br /> JOBADDAESS /'�J IQ Il , LOTp <br /> .' % ���� <br /> SUBDIVISION PARGEL IDN � " i � V Wv "' Q��� <br /> (06MNIC0 FPOY VROVORYTAXNOTIC� <br /> WORK PROPOSED � NEW CONSTR 8 ADD�ALT �] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TVPE OFCONSTFUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> ' ►7 � n 1 nd . � S +dl1S- <br /> BUI�DING SRE SC FOOTAGE � HEIOHT lY � V 1 n I� r i vZte Y <br /> BUILDING S ��� � VAlUA710N O TAL CO TRUCTION <br /> QELEC7RICAL �� AMp ICE A �� PR E RGV Q W.R.E.C. <br /> �" hn � <br /> QPLUMBING $ �� � l�J(��� � UC.J �� <br /> . �� �� � � vR .s-IG. � <br /> QMECHANICA� $ VALUA HAPII TALLATION �!/ON F�� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �� ��� tS � �� <br /> FINISHED FLOOR ECEVATIONS � FlOOD ZONE AREA QYES NO �� <br /> BUILDEA COMP � F'f� rG/1C� t '� <br /> SIGNATURE REGISTERED Y/ N �� RREn Y/ N <br /> Aedrosa � JYYV� llcanseM !�/ � �17CfL L".C.� - �'l,f <br /> �/ <br /> ELECTRICIAN COM PANY <br /> SIGNATURE qEOisreaEO Y N FEE LURREA Y N <br /> Address Lioense q <br /> PLUMBER COEAPANY <br /> SIONATURE rteG�sTERW Y J N FEE CuaREn Y/ N <br /> Address License # <br /> MECMANICAL � � COMPANY � <br /> S16NATURE RECISTERED V/ N F� cuAaen Y/ N <br /> Address License N � <br /> OTHER � COMPANY <br /> SIGNATURE �cisreaeo Y' N c� cuAqen Y/ N <br /> Addresa Licenae p <br /> 1 1 1 1 1 I 1 1 1 1 1 1 f 1 1 1 I 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1[ 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENf1AL Atfach {2) Pbt Plans; (2j sEts of Build'mg PIarIS; (1) set of Energy Forms; R-O-W PertnilfOf f�ew conStrUqbn, <br /> Minimum ten (70) working days afler su6iruttal data. Required onaite. Co�struction Plans, S[ormweter Plens w.t SYI Fence installed, <br /> Sanitery Fadlities & 7 dumpster; Site Work Permk ta subdrvisions,Aarge projects <br /> COMMEpC1AL At�ech (3) eomplete aets of Building Plarw ptus a Life Satety Paga; (t ) set of Energy Fortns. R-O-W Permit for new conaVUdion. <br /> Minlmum ten (10) woAdng daya aRer submitlal date. Required onsite, Construc[ion Plens, Stortnweter Plans w/ Sat Fence insfalled, <br /> Senitery Fadlfties & 1 dumpster. Site Work Permit ior all new projeds. Afl commereiel requ'vements must meet compliance <br /> SIGN PERMIT Attec� (2) sets of Engineered Plans. <br /> """PROPERlY SURVEY required 1a all NEW consWdbn. <br /> DlrseNonc • <br /> Fill out appiication complelely. <br /> Owner 8 Contracta sign back ot sppirgtion, nofarized <br /> �f ovsr E2600. a Notice of Comm�nesmsnt ia requlnd. (q/C uppndas over 57500) <br /> " Ageirt (for the contraGOr) w Power of Attomey (Iw the owner) vuould be someone with noterized letter hom owner authorizing eame <br /> OVER THE COUNTER PERMITTINO {FrontotApplicabn Only) <br /> Rmools if shingles Sewers Service Upgrades A/C Fences (PlotSurvey/Footage) <br /> Driveways-NOt over Courrler if on pubFc roadways..needs ROW <br />