Laserfiche WebLink
813-780-0020 City ot�epnyrniiis r�r,►���HNN���a����� . <br /> " , Building Department <br /> Date Received � ��—� �— Phone Confact for Permitting ��7 �dQ S3l <br /> y-rHi -rr <br /> Owner's Name i�/ !/J/J/E � (�L/'/� /—�-° df • Owner Phone Number ' <br /> Own�r's Address 7� DZ v�L° G. C�• Owner Phone Number[ <br /> Fee 5imple Titleholder Name Owner Phone Nurriber[ <br /> Fee 5imple Titleholder Address • <br /> JOB ADDRESS CS�-� •af . Q- � ' LOT#� � <br /> SUBQIVISION � • i`t'� ��- �/l � e �J� PARCEL ID# ��—�� �v��� �O�'O 77(� <br /> (OI3TAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED ' � NSWA�ONSTR e REPAIR � SIGN Q NIOVE Q DEMOLISH <br /> PROPOSED U5E' . � SFR � • COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME ' � STEEL 0 OTHER <br /> DCSCRIPTIONOFWORK �G[.1�����/ O� �-Xlcf , � • � � <br /> BUILDING SIZE �� x � SQ�OOTAGG ayd HEfGHT �� <br /> I�I BUILDING $ ��t 0�� o• VALUATION OI=TOTAL CONSTRUCTION <br /> ��.. <br /> � ELECTRICAL $ AMP SGRVICC � PROGRESt3 ENERGY Q W.R.E.C. <br /> 0 PLUMBING �; � � ���P��iUIBT��F������ <br /> (�13�78�-53a�€ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION��1 4S$�'� <br /> � GAS 0 ROOFING 0 SPECIALTY OTHER I ���� <br /> 0 � <br /> f=1NISHED FLOOR ELEVATIONS �LOOD ZONE AREA DYES ��NO <br /> S G'NATURE �d �u-`l�� 1�(�/� �1� �•� R OMP REO �/ N �U F/�RENf���IO� <br /> Address /��� • �C7 Ux �� � �-- f � �3`rc3 - . License�# <br /> ELECTRICIAN • COMPANY <br /> SIGNATURE REGISTERED Y/ N F[E CURI�ENT Y/N <br /> Address � License# <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Add�ess License# � <br /> MECMANICAL ' ' COMI'ANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURR,ENT Y/N , <br /> Address • License# <br /> OTHER � COMPANY . <br /> SIGNATURC RGGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# f <br /> RESID�NTIAL Attach(2)Plof Plans;(2)sets of Buifding Plans;(1)set of Gnergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worlctng days after submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumps�er;Site Worlc PermiE for subdivisions/large projecfs <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W I'ermtt for new constructton. <br /> Minimum ten(10)worlcing days after submittal dafe. Required onsite,Construction Pfans,Stormwater�Plans w/Sllt Fence installed, <br /> Sanitary Faciiities&1 dumpster.Site Worl<Permit for alf new projecEs.All commercial requirements rriust meet compliance <br /> 51GN PERMIT Attach(2)sets of Engineered Pians. <br /> '***PROPERTY SURVEY required for all NEW construcfion. • <br />-i-�-i;;;-�-�-i-;-i-1;;;-I-H-I-f-ht-�-�+t-t-1-H-I+t-FH-t+i-hhl+H-FI-H+H-1-1-hf-hl-t-t-H-1-H-I-t-M-1-1-1-H-hl-N-1-I+hl-H+I-H-t-rt+H+t+I-H-I-I-Ft-hti-�-i-t-t-i-H-�-1-M-H-i-h�-H-i-t-H-1-l-i-1-1-i-Ii+Fii+hrF <br /> Directions: <br /> Fill out application completely. � , <br /> Owner&Contractor sign back of application,notarized . <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over$5000) <br />** Agent(for the contractor)or Power of Attorney(for fhe owner)would be someone with notarized fetter from owner authnrizing same <br /> OVER THE COUNTER PERMI7`fING (Front of Application Only) . <br /> Reroofs Sewers Setvice.Upgrades A/C f=ences(Plot/Survey/Footage) . <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />