Laserfiche WebLink
a13a8o-0o2o City of 7-ephyrhills Permit Application rax-es�s-iesu-uuzi <br /> Building Department <br /> Date Received .- ,C <br /> •.Phone.Con 1r r for Permitting — <br /> Owner's Name {'C S t'.l 4 ACL KO S Owner Phone Number' <br /> Owner's Address $�O.Q 3 C`f�dCh V�- Z� h y(h f 1 Owner Phone Numbe 1 3 77 3 <br /> Fee SimplelTitleholder Name. OwnerPhone Number <br /> Fee Simple!Titleholder Address <br /> j <br /> JOB ADDRESS g 6 O �i a-h,j e h A V LOT# <br /> SUBDIVISION tti I h CL PARCEL ID# �7. 'a- rb 0 J", `00 00 O 0 <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW;CONSTR'e ADD%ALT Q SIGN Q Q DEMOLISH <br /> i INSTALL :REPAIR <br /> PROPOSED USE = SFR 0 'COMM 0 OTHER <br /> TYPE`OF CONSTRUCTION =` BLOCK Q_ 'FRAME = STEEL 0 <br /> DESCRIPTION OF WORK ylb <br /> i t , <br /> BUILDING°SIZEi 1',0 r 6 SQ FOOTAGE . G . HEIGHT <br /> FVJBUILDING $ i / /� G VALUATION'OF TOTAL CONSTRUCTION <br /> "l <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> i I r <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0. ROOFING = SPECIALTY. = OTHER ` 9 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ,BUILDER � OM PAN Y �ji'1 t 0``h Llr <br /> SIGNATURE REGISTERED Y'/ N- FEE CURREN. <br /> Address License,# <br /> :ELECTRI,CIAN COMPANY <br /> "'SIGNATURE' REGISTERED Y/ N FEE`CURREN - Y/N <br /> Address' - f License# <br /> P.CUMBER, . '.COMPANY-,,' <br /> - <br /> SIGNATURE ' REGISTERED Y/ N:...I, FEE CURREN. <br /> Address. License <br /> MECHANICAL v COMPANY• <br /> SIGNATURE' REGISTERED Y/ N I,, FEE CURREN. , ..' Y/N ' <br /> Address-?-: License.# <br /> OTHER; :';;i ..,. :' <br /> • COMF?ANY <br /> SIGNATURE[s: ;.i . REGISTERED Y/.N- FEE`CURREK Y/N <br /> Addres$:;;. License# <br /> r:RESIDENTIAI:?r:"`Attach'2+`4:PIot"P•,lans?2 $efs:of Buildin Flans; 1 set of Ene Fo.'rms R-Q-W.Permit:for.new,constriictiori' <br /> kt- MinimumiLten;6(10,)virorking}dayslai._,sub iJate:;l Required'onsiW Constn ction.Plans,Storrriwater Plarls w/Silt Fence.installed, <br /> SanitaryFacilities48,1 dumpstef;;Sife:WorKRermit.for-`subdivisions/large pje <br /> COMMERCIAL Attach(2)=complete sets of`Bi7ilding Plans.-pfus a'Llie Safety Page;(1)seto f Energy Forms.R-O-W Permit for'new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence.installed, <br /> Sanitary Facilities&.1 dum ster.Site Work Permit for%all;new:projects.All commercial requirements must meet compliance- <br /> ' .- <br /> :SIGN PERMIT "Attabh O s"etsofEnglneer.P ed <br /> PROPERTY SURVEY required for„all,NW.,construction..:. <br /> %Fillout application completely. <br /> Owner'&:Contractor sign:back of application,notarized <br /> .. If over•$2500;-a Notice:of:Commencement,is required. (A/C upgrades over$7500) <br /> Agent`(fo�r ilia*contiacto'rj,or,Power:of Attomey-(for'the'owner)woUld'lie someone with notarized letter from owner authorizing same <br /> OVERTHE COUNTERPERMLTTING., .(gopy_of contract,required) <br /> 'Reroot. if;stiingles `Sewers Service Upgrades A/C Ferices.(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on publld roadways::needs ROW <br />