Laserfiche WebLink
$��-7$a-oQ2Q City a#Zephyrh�lls Permit Application Fax 813-780-0021 <br /> Bulldl g Department <br /> Date Received • ` <br /> - Phone•Contact fpr Permtttin — <br /> Owner's Name �.jG' � /,�� ��G S �v � Owner Pbone Number <br /> Owner's Address %���� 3���2 j���I!� �L1� Owner Phone Number � = � <br /> Fee Slmpie Tittehafder.Name r � Ownar Rhone Number �� � <br /> I <br /> Fea Simpie Titleholder Address <br /> JOB ADDRESS LQT# �� <br /> SUBDIVISION � �� PAMtCE ID# <br /> (OBTA1NEd FROM PROPERTY TAX NO710E) <br /> WBRK PROPOSED NEW CONSTR ADU/A � SIGN [� Q DEMOLISH <br /> �- INSTAI:L 8 REPAI <br /> pROFQSEp:USE Q SFR Q COMM � OTHER <br /> TYPE OF CON8TRUC1iON Q BI.QCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �. ! .�`JG/�C�`� G��� �C ��7 A�t✓ �-t f�l� /��,/�C �' <br /> BUiLDINGSiZE � �� $Q.FOOTAGE ��/,�T HEIGHT `f' � � <br /> �BUILDlNG $�,��� �� VALUATION OF TOTAL CONSTRUCTION <br /> �]EI.ECTRiCAI. ($ � AMP SERVI E [� PFtOGRESS ENERGY [� W.R.E.C. <br /> � <br /> QPLUMSlNG �� <br /> OMECHANIGAL $�'—� VALUATtON QF MECHANICAI,INSTAI.LATtON ,r1 j C� <br /> � <br /> �]GAS Q RflQFlNG � SPECI LTY C� OTHER <br /> FlNtSNEQ Fl.QOR ELEVATtONS ~ FLOOD�ZONE AREA QYES NO <br /> BUI�DER _—. ! / � CQMPANY � � � l�G�i'�G°(� G�u <br /> SIGNATURE �' l'-J�-.. ���.— �zE��sr�D ! N �EE cUt�n Y/N <br /> i <br /> Address License# � � <br /> ELEC7RtCtAN CC�MPANY <br /> SlGNATURE RECy15TEf2E0 Y! N FEE CURREh Y/N <br /> i <br /> Address License# � � <br /> PLUMBER C IMP.AirtY <br /> A Y <br /> SIGNATURE REGESTERED Y J N FEE cURRER Y I M <br /> Addre$s License# ��r� <br /> fV�EGHAN#CA! �` C�MPAFtY <br /> SIGNATURE Re�is7�Rea Y i N FEE GuRREt� Y i N <br /> i <br /> Address License# �! � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y t N FEE GURREt+ Y/N. - <br /> � <br /> Addres$ � License# I ^� <br /> RESfQENTfAL Attach(2j.Flat Plans;{2)sets of Bufiding`Plans;(1}set of Energy Fortns;R-O-W Petmit for new consttuction, <br /> Minimum;ten(10)workin�.days after submittal date. Required onstte,Gonstruction Plans,Stormwatef Plans wf Sik Fence lnstalled, <br /> SaniEary Facilitles&1.dumpster,Site Work�Permit for�ubdivislonsAarge projects . <br /> CQMN3ERCIAL Attach(8)compiete sets of Buitiling'Plans pCus a Life Safety Page;{1}set of Energy Forms.R-O-W Permit for new canstruction. <br /> Minimum ten(1Q)wotking days after submittal date. Riequired onsite,Construction Plans,Stormwater Plans w/811t Fence tnstailed, <br /> 9anitary Facilides&1 dumpster.Site Wark Permit for il new projects.All commercial requirements must meet compilance <br /> SIGN PERIVEiT Attaah{2}sets of Engirieered Plans:., �� <br /> """PROPERIY SURVEY requ}red for al.!NEW const ctlon. <br /> Directlons: ' <br /> Flll out applica�on completely. <br /> Owner 8,Contractor sign back of appl(caUon,notarized <br /> tf over$2500,a Notice of Commencement is required. (AIC upg�des over�7500j <br /> '* Agent(for the contractor}or Power of Attomey(for the owner}would be someone with notanzed Ietter from owner au#horizing same <br /> 4VER THE COUFITER PERMITCING (Front af Application Onty) <br /> Reroafs if shiflgtes 8ewers Senrice Upgrades AtC Fences(PIoUS�trveylFootage} <br /> Driveways-Not over Caunter if on pub�ic roadways..need's ROW <br />