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s��-�eaoozo City of ephyrhills Permit Applica'e 13-780-°°21 <br /> . Building Department I <br /> ' Date Recefved phone ontact for Pertnitting 8 3 713 —13 <br /> Owners Name D T W R Own er 3- 7 <br /> i <br /> ownersadoress 6035 9TH ST ZEPHYRHILLS FL 33542 OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# � <br /> SUBDIVISION �`S�N`SUB ppRCELIDk OZ-Z6-O�GO-OO�O0-0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTft ADDlALT Q SIGN Q Q DEMOLISH <br /> e ` INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER , <br />' TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110N OF WORK ROOF OVER EXIS ING ROOF WITH 29ga MASTERRIB META � f ��� <br /> BUILDING SIZE SQ FOOTAG �-�.+�-� HEIGHT � � 2 <br />, aq J <br /> UILDING $ V L U A T I O N O F T O T A L C O N S T R U C T I O N � <br /> r � ` <br /> ELECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBING $ (�� <br /> QMECHANICAL $ V LUATION OF MECHANICAL INSTALLATION �" �� 1 / <br /> �Q�����/ <br /> OGAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N(? �U <br /> sui�oeR � V D(L�{G r � cor�Pannr TLC ROOFING LC <br /> SI G NAT URE a , c/ �f V� ttECis�r�o Y/ N F�cuwtEn Y/N <br /> Address PO BOX 1745 DADE CITY L.33526 ucense# CCC1328205 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �cls�r� Y/ N �CU�n Y/N <br /> Address License� <br /> PLUMBER COMPANY <br /> SIGNATURE q�ols�o Y J N F�cur�n V/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS�REO Y/ N FEE CURREf� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE aec�s��o Y/ N �cuw�n Y/N <br /> Address License# <br /> Iltllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI ns;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submi al date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Sde Work ertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(3)camplete sets of Building Plans us a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construclion. <br /> Minimum ten(10)working days after submi al date. Required onsite,Construction Plans,Stortnwater Plans w/Sitt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Work ertnit for all new projeds.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all N W conshuction. <br /> Directions: I <br /> Fill out application completely. <br /> Owner 8 Contrador sign back of appliption,notarized I <br /> If over 5z50D,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contractor)ar Power of Attomey(for the er)would be someone with notarized letterfram owner authorizing same <br /> OVER THE COUNTER PERMITl1NG (Front of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades AfC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on publfc roadways..need ROW <br />