Laserfiche WebLink
� - <br /> 813-780-0020 City of ephyrhills Permit Application Fax-813-780-0021 <br />' Building Department <br /> Date Received L f �"/�� <br /> ' ` Phone ontact for Pertnittin � V �� <br /> � _i-r_ri_r-rrr - - rr <br /> � � . ` �a-a�- a� <br /> Owners Name 1 �(�iWl �W� Owner Phone Number <br /> Owners Address �L D v 4 Owner Phone Number <br /> i Fee Simple Titleholdor Name Owner Phone Number <br /> Fee Simple Titloholder Address <br /> JOB ADDRESS � D � LOT# � <br /> SUBDIVISION PARCEL ID# �� �+�� � OD/���:X.M/� VOS(� <br /> (OBTqINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br />' TYPE OFCONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK I aX�� �5 e <br /> eUILDING SIZE 0� /� � SQ FOOTAG !� HEIGHT 1 <br /> TrTTI"ITTTrTI"TTI"1"1-T PTrTI"ITTTrTTf�TI"ITTT�TT�TTr <br /> �BUILDING $ � V LUATION OF TOTAL CONSTRUCTION <br /> DEIECTRICAL $ A P SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � `� <br /> �MECHANICAL $ V LUATION OF MECHANICAL INSTALLATION �yi \� <br /> .�. <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO I <br /> �i-r;-:..-..-r� :-i-d��:�.�-.-FF' �-s-:.-rC-:-:-i-:-F��:�.'.-:-:-' i��F:-i��i-�'.-+-:- � <br /> �� i J . <br /> BUILDER COMPANY � TT � e <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� J� A c> �iw � T �J License# �.l")C l 0�`5�(��� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Add ress License# <br /> PIUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllillllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plol Plans;(2)sels of Building P ans;(1)set of Energy Forms;R-O-W Permit tor new construction, <br /> Minimum len(10)working days after subm llal dale. Required onsite,Conslruction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster,Site Wo Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of 8uilding Plans lus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days afler subm ttal date. Required onsile,Const�uclion Plans,Slortnwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities&1 dumpster.Sile Wor Permit for all new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all EW construction. <br />� �-F-i+1-��F-1-i-1-.1-1-.1--4-1--F-1-1--�1--1-1--�4-4-i- 1--F�l-1.-1-1..{-1-1-d-1-.1.-1-4.�-1-�4i-I--F�1--HHI-d-{.-f..F-1--1-{--1-�1..1-1--�f- <br /> Directions: <br /> Fill out application complelely <br /> Ownor&Contractor sign back o(application,notarized <br /> If over 52500,a Notice o(Commencoinent is required (A/C upgredos over$7500) <br /> ^ Agenl{(or lhe conlractor)or Power of Attorney(for the o ner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITfING (Front of Applicat n Only) <br /> Reroofs i(shingles Sewers Service Upgrades A/ Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..nee s ROW <br />