Laserfiche WebLink
' <br /> -- \;ity ot-/ephyrhi\lsPermit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phon Number <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> � <br /> SUBDIVISION nD# <br /> (03ThIINIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wewoommn ADo/ALT F--� SIGN F—� �—� DEMOLISH <br /> Ef INSTALL i_] REPAIR <br /> PROPOSED USE F--1 8FR � F—� COMM �--� OTHER <br /> TYPE DFCONSTRUCTION [—��� BLOCK F-7 FRAME F---| 8TEEL F—� <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT <br /> DESCRIPTION OF WORK I (A <br /> =BU(LD|NG VALUATION oF TOTAL CONSTRUCTION ' <br /> =ELECTF8CAL AMP SERVICE F--� PROGRESS ENERGY F--1 VV.R.E.C. <br /> | |PLUMB\NG <br /> 0-' <br /> =MECHAN|CAL VALUATION OF MECHANICAL INSTALLATION » -- <br /> [--lGAS ROOFING �—l � SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nsa/arsnEo ` psEcunREx <br /> Address bZ002 a�eCDM Of— License# Ea c o,;ci,4,2ELECTRICIAN COMPANY <br /> SIGNATURE nsG/mrEnEo ` psIEouRnEN — ��--�---- <br /> Addoen <br /> PLUMBER OoMP/UVY <br /> SIGNATURE nEG/onsnso <br /> � <br /> Address Unanse# <br /> MECHANICAL J __i\k R <br /> COMPANY <br /> SIGNATURE nEu/STEnco <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE nsa/ar�aso -- <br /> FEE CURREN <br /> A ddress License# I cc <br /> RESIDENTIAL Attach(2)Plot Plans; <br /> Minimum ten vu/working days after submittal date, Required onsite,Construction Plart�Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities G1dumpster Site Work Permit for subdivisions/large projects _} _ <br /> COMMERCIAL A��oh(2)comp�haeo�ofB�l�ng Plans plus aL�^ (1)set of Energy F��n,R,O-WFnrmIt for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onoihe.Construction Plans,8tormva�r Plans v/Silt Fence inataUod. <br /> Sanitary Facilities c aa&� dumpat� GitnVVorkPanndfora||newpnNeda.A|iuommov�a|mq�h»mantsmumtmeotcomp|ianue <br /> SIGN PERMIT Attach(2)sets of Engineered P|bnu. <br /> °°°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over$25uo.a Notice of Commencement/srequired. (AIC upgrades over$75VO) <br /> � Agent(for the contractor)nr Power nfAttorne�(for the owner)would be someone With notarized letter from owner authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles 8ewes Service Upgrades A/C Fonoan(P|ot/Sumey/Footago) <br /> Driveways-Not over Counter ifun public modvays.00ednROW <br />