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s��-�aaoozo City of ephyrhills Permit Application Fax-8'13-780-0021 <br /> , 'a <br /> �. • Building Department <br /> Date Received phon Contact for Permitting - <br /> -I'1'IT TI <br /> Owner's Name � � Owner Phone Number l �� - V <br /> Owner's Address �L.{(, �� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Num6er <br /> Fee Simple Tideholder Address <br /> JOBADDRESS e , �^ • �� LOT# � <br /> SUBDIVISION PARCEL ID# � - � ,` �� <br /> (OBTAINED FROM PROPERN TAX NO7ICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � �C C' C� <br /> BUILDING SIZE SQ FOOTAG � HEIGHT <br />' OBUILDWG V LUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ A P SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ V LUATION OF MECHANICAL INSTALLATION �����/� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY vW I <br /> SIGNATURE REGISTERED Y I N FEE RRE� Y/N <br /> Address ` L License# �� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> ' Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI5TERE0 Y/ N FEE CURREI. Y/N <br /> Address License# <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 f 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 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI s;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence installed, <br /> Sanitary Facililies&1 dumpster,Site Work ermit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pl s a Life Safery Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)worfcing days after subm' I date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work ermit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> � ""PROPERTY SURVEY required for all N W construction. <br /> Diractions: <br /> Fill out appliption wmpletely. <br /> Owner&ConVactor sign back of application,nolarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> '• Agent(for the contraclor)or Power of Attomey(for the own_r)wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatio Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs OW <br />