Laserfiche WebLink
s1�Teo ao2o City of 2ephyrhills Permit Application Fax-81a-�eG4)021 <br /> .. _ Bul7dirts <br /> Dale Reeelved Pimna corded a r t J 7005 ' 5,01 a <br /> DtanaYS Name N/J Ol"m Piano Number <br /> Ownew+sAddrass�b4 �dri tom'- STD'1l�1S aCwnarPNttxf.fltnnita� � ' <br /> Fee 56npiQ TiUahoidv Ntsrts, Owner Pboee NrnWW <br /> Fee SW*e TlUdtoldw Address <br /> JOBADDRESS 02.9 Aq-W,11;errz a Ail x LOTS . U� <br /> SUBDIVISION I ----� PARCELILIL P a ' -M / <br /> LoOrAasas Fleets e�topsTry raft r�?�t <br /> WORK PROPOSED NEW amm AWALT p SIGN 0 = DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSES USE p SFR :. p COMM p OTHER <br /> TYPE OF CONSTRuc'M p BLOCK p FRAME p STEEL []. <br /> DESCNBPr.'ON0FWrfORK Pi , G'Dm 0111eAJTa r ?'a <br /> BUILDING SIZE SQ FOOTAGE mMoW <br /> =BUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S ANPSERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> =PLut1MING <br /> MCIECHANiCAL 5 � 6 VALUATION OF MECHANICAL INSTALLATION 4r <br /> ACAS p ROOFING p SPECIALTY[= oTHER <br /> FINISHED FLOOR EUWATtONB FLOOD ZONE AREA AYES NO <br /> viu.M F— <br /> SIGNATURE REMMUD I YIN FEE CURREK t <br /> Adder License# -----� <br /> SIGN T UREE I COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CI1nREK Y I N <br /> Address Lioenso#�— <br /> PLUMBER COMPANY <br /> SIGNATURE III REoaMEn I YIN FEE CUMM Y t N <br /> Address Licens9# <br /> MECHADUCAL lll�A��— �l COMPANY <br /> SIGNATURE It 7 RE13lSIHtED YIN FEECURRET Y/jN` <br /> Address `T 1 G/V /r. �SS� License# <br /> OTHER COMPANY t <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y 1 <br /> Address License#r <br /> Ifiiltlltl/,t11 / ! lililtllt/ tlillll.ttllIt111111lt11111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plats;(2)sets of t3tu5ft Puns;(1)set of Energy Fom ,R G W Pwn-jt for now cwmvudion, <br /> Wmum ten(10)vmdd lg d$ys'afier submft dais. Pa*dmdwsPACmWjcftPiamStmmwetarPkm%id8ftForimir4WIed, <br /> SwA y FreWSM a i disrpiftr,SAb Work Pamut for props <br /> COWARIB CtAL Attach(2)ownpieft sots or8uitlnp Flam phis a We Safety P"o.(1)Set ar rzrmw Forms.R-O-W Pormit for rwwmnshttcbom <br /> Nfatkman ten(10)wodc ;days aRarst l dace. Rs*mmd attsila,Construction Plain,Smawater Plans vd Silt Forte irstouk4 <br /> Sanitary Facftw A 1 dmVster.Site Work Permit for d new projects.All oomuMcI tl regoiismerds must most comphance <br /> SIGN PERMIT Attach(2)sels of 6gnaered iclulS. <br /> ***PROPERTY SUt�LtfiY teQttlw tor'W NEW 6m,mM ctn. <br /> LKpeetiwts: <br /> Fin out appoca5on colnpietsly. <br /> Owner&CmIractor sW badr of egVkaborl,rwtuuaed <br /> Notes$2500,a N*Ckn of.Cca ntmxmrmd IS nqukod. 0f C tqw-ades oval S75W) <br /> *` Agent(for the—bactor)or Power of Aft-W(forNts—mr)Would be someone with rl Wnmd Wm from omler authotirlflg Same <br /> OVER THE COUNTER PERMITTING, (oopy of oonbad requited) <br /> RwaofalfsWrargfes Sattwra .,.: S-1-.Upgrades A/C, Fertces(T?bt/Sur WXootmW) <br /> Drhmways-Not over Counter if on pubfio roadways.:rieeds ROW <br />