Laserfiche WebLink
oi�-io�-wcu t;ity ot�ephymiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � 2.1Q-�Z Phone Contact for Permittin } . ��� --lSl����'I <br /> Owner's Name f '�i Owner Phone Number ��• �J'7c.J' ..�4�)L- <br /> Owners Addresa " i . S�--I Owner Phone Number <br /> Fee Simple 7ltlehoider Name Owner Phone Number � <br /> Fee Simpte Titlehoider Addreas <br /> JOB ADDRESS � `�{' t • �J�� ~ LOT N O <br /> SUBDIVISION PARCEL IDN •�� •� "� �' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �����'1�u`' �1,ZE' S�Z e� 2P � - � '2. <br /> BUILDIN(i SIZE SQ FOOTA(iE� HEIGHT C� <br /> �BUILDING S y VALUATION OF TOTAL CONSTRUCTION <br /> � � <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> � <br /> MECHANICAL S VALUATION OF MECHANICAL INSTALLATION � � ���� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � `�t'���� COMPANY lJ.l'.!�Y � <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � - � JJUU� License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> INECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREP Y/N <br /> Addross License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Fadlitles�1 dumpster,Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit tor new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Fadlitles&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. . <br /> ••"•PROPERTY SURVEY required tor all NEW constructlon. <br /> Directiona: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of appl(catton,nota�ized <br /> If over i2S00,a Notice of Commencement is required. (AIC upgradas over=7500) <br /> •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />