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813-780-OG20 City of �ephyrhilis Permit Application Fax-813-780-0 '�. "'�� <br /> Building Department � ` <br /> Dato Received • ��, Z. �/� v <br /> Phone Contact for Permittin �� 3 y 7G .. 0 3�3 � �� <br /> �- � ; �; <br /> Owner's Name �� Ib N 19�'Q � O/VJ E� Owner Phone Number ?� 7� y'�- /�QQ` �. <br /> Ownera Add�ess ���s0 L/ 6NTGvgvE �zio 33��0 <br /> GcfARpAq �� Owner Phone Number <br /> Fee 3lmple Titlehaldar Name Owner Phone Number --� <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS '��(.PQ r �� � Z E�y , Cf,l�t�l�S , FG 335�� LOT # ' 3 2- <br /> SUBDIVISION ���pN� �,Q�f�, �q. � PARCEL ID# �� ' � �'oZ 1- Q25Q - (�(��Q� o <br /> (OBTNNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR A�D/ALT � SIGN � � DEMOLiSH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME C� STEEL � r' —� <br /> DESCRIPTIONOFWORK NFhI CONSTi4 T/Dl� �^ VfG(,/9S <br /> BUILDING SIZE � SQ FOOTAGE �] HEIGHT SGL S�E <br /> ,. <br /> QBUILDING $� � • OO VA�UATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $�C,2O � OO AMP SERVICE �' PROGRESS ENERGY Q w.R.E. �� '� <br /> [�PLUMBING $ � sC, . OO <br /> �MECHANICAL $ 2 � 2 O � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING O SPECIALTY O OTFiER <br /> FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA �YEg Nq <br /> BUILDER COMPANY LEJvA��+�- �gI �,�5 <br /> SIGNATURE ��.�� Y � N � , Y � <br /> Address � SsS� f�. �?/0 G(,fl�Q/1i FL ;,T�JLD � <br /> u��# . C6G IS/8!`6 <br /> ELECTRtC1AN COMPANY G ��JoroSoN E[-Ef nC/G SNC • <br /> SICENATURE REGtSTEFtED Y/ N FEE cx�Ep y <br /> Addreaa /03'y .S�/l�i/ . � �0 jG ,33f/ �icense # ' �CODO � f' � <br /> PWMBER COMPANY .� M G�/ P.0 d/✓fiC�1H� �� <br /> S1�3NATURE REGISTERED Y N :EE �iy;cRE1. � Y {� <br /> i <br /> Addreaa �032? N E L 33578 _�cense � C�C D�/ S Q Q ; <br /> t <br /> MECHANICAL COMPANY IjAyoniFT � �M6�N 6 � �F,mN� � 8' �{G <br /> SIGNATURE REGISTERED Y� N FEE CU�REti Y�,V <br /> Address P �• 80X .'S3 T�0/Nt' �L ��'(r License ii I�CQS S D 6 2— � <br /> OTHER ' COMPANY C .�rfRL�NL j /Q�pq�q�y�� �.. <br /> SIGNATURE REGISTERED Y/ N � Ct�w Y/ N <br /> Address y2ll .9 a� uNE 8ura S ��v� f/!u o7 ucense � � C C o 5 � 9 91 I <br /> ��� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bt�ilding Plans; (1) set of Energy Forms; R-O-W Permit for r�ew cons�6vc�ion. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians Stormwater Piane �, Sitt Fe� � <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions�arge pro�ects <br /> COMMERCIAL Attach (3) complete sets of Buiiding Plans p{us a L'rfe Safety Page; (1) set of Energy Forms R-O-W Permit ta r�,,; c� <br /> Mirimurr� ten (10} working days after subm+ttal dafe. Raquired onsite, Construction Piars, SEOrmwa� Ptans rx� Stitt Fe� � <br /> Sanitary FaciliNes 8 1 dumpster. Site Work Permit for ail new projects. An commercial requ;remeMs must me� comp�nce <br /> SIGN PERMIT Attach (2) sets of Enpineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directiona: <br /> Filt out application completely <br /> Owner & Contractor sign back of applicatior�, notarized <br /> Ii over 52500, a Notice of Commencement is required. (AIC upgrades over S750G i <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone w�th �otanz=_ �:-e•'��T =�.�_• =__ ��.-_ <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ` <br /> Reroofs if shingles Sewe�s SeMce Upgrades A/C Fences (PIoVSurvey/Footage) <br /> OrNeways-Not over Counter H on public roadways..needs ROW <br />