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813-780-002D City of 7_ephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � Date Received <br /> T�__�_�_.� Phone Contact for Pertnittin <br /> � <br /> Owners Name � 1�t � Owner Phone Number "]���'g <br /> Owner's Address ��� I Owner Phone Number �--� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �� {� ��� LOT# � <br /> SUBDIVISION PARCEL ID# I I��j— � ��— (o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK ��I 3 S � rn �{ <br /> BUILDING SIZE SQ FOOTAGE �� HE�GHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E C <br /> OPLUMBING $ <br /> ,,�� -� y// s <br /> I /'�`��MECHANICAL $ � C;c � VALUATION OF MECHANICAL INSTALLATION � ( � 1 � <br /> —� L! <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# <br /> MECHANICAL PANY '� � <br /> SIGNATURE GISTERED Y! N FEE CURRE� Y/N <br /> Address r � � . �j� License# ' 3 <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> 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 1 1 1 1 1 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 <br /> RESIDENTIAL Attach(2)Pbt Plans,(2)sets of Buildmg Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date Required onsite,Construclion Plans,Stortnwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&7 dumpster;Site Work Perm�t for subdrvisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bwlding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence insta�led, <br /> Sanitary Facilities 8.1 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 8 Contractor sign back of applicahon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone wnth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shmgles Sewers Sernce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />