Laserfiche WebLink
s�a-�eaoozo City of ephyrhilis Permit Application Fax-813-780-0021 <br /> • ; . " Building Department <br /> Date Received Phon Contact for Permittin <br /> �1�- <br /> Owner's Name ��V Owner Phone Number V`� ' <br /> Owners Address � �•� Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fea Simple Titleholder Address <br /> f �JOBADDRESS �� i� I n LOT# <br /> SUBDIVISION PARCELID# � -��' � <br /> ' (OBTOJNED FF30M PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � , �1[J ('QGf' � "Y"'�^ ('S <br /> BUILDING SIZE SQ FOOTAG � HEIGHT <br /> QBUILDING $ V LUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ����r� <br /> ✓ <br /> �MECHANICAL $ V UATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVAT ONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPAMY \O <br /> SIGNATURE REGISTERED Y/ N F E CURRE� Y/N <br /> Address `1 �, U License# ���� �����f � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> PLUMBER � COMPANV ' ' <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE rz�cisr� Y/ N �cuR�n Y i N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> � � � i � � e � � � � � i � � i � � � � � � � � � � � � � � � � � e � � � � � � � � � � � � � i � i � � i � i � � � � � s � � � � � o <br /> RESIDEPITIAL Attach(2)Plot Plans;(2)sets of Building Pla s;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faciliiies 8 1 dumpster,Site Work rmit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pl s a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stormwater Plans w!Silf Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work rmit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•'PROPERTY SURVEY required for all NE construction. <br /> Diractions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized - <br /> If over$2500,a Notice of Commencement is required. AIC upgrades over$7500) <br /> •` Agen[(for the contractor)or Pawer of Attomey(for the own r)would be someone with.nolarized letter from owner authorizing same . � <br /> OVER THE COUNTER PERMITTING (Front of Application Only), � <br /> Reroofs if shingles Sewers ' Service Upgrades AIC : Fences(PIoVSurvey/Footage) , <br /> Driveways-Not over_Coun[er if on pubiic roadways..needs OW, <br /> I <br />