Laserfiche WebLink
a 813-7$0-0020 City of Zephyrh;lls Permit Application Fax 813-780-Op21 <br /> BuiEdi�g t}epartment <br /> Date Reaeived y f Q� Phone-Cantact fpr Fermittin — <br /> Owne�'s Name C��� ��+, Owner Fhone Number � �� y'�''�'„�„Ld 3 I <br /> Qwner's Address � � 7�--"`—"�'�� � �f�1'�G�'I G�.+ Owner Phone Number �- � <br /> Fee Simple Tltleholder.Name �— � Owner Phone Number � � <br /> i <br /> Fee Simple Titleholder Address <br /> �--y t <br /> JOB ADQRESS ��r ( ���-�'� '� LOT# <br /> i <br /> SUBDiV�SION �i � PARCE 1D# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> W4RK PROPOSED NEW CONSTR ADDlALT � SIGN � Q DEMOlISH <br /> e INSTALL 8 REPAIR <br /> PROP4SEO USE Q SFR Q COMM � 0 o�E�t <br /> TYPE QF CONSTRUCTION Q BL.00K [� FRAME , � STEEL Q <br /> DESCRIPTION OF WORK G� '����� �°� � �f�" ��� � <br /> � ���"'i.r5f'�Y <br /> � <br /> '� C.-._� ����� .. <br /> BUiLDtNG SIZE � S4 FOOTAGE �� , HEIGHT <br /> �B�«���� � )+ �� v� VALUA710N 4F TOTAL CONSTRUCTION f���' � <br /> QE�ECTRICAI. �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPlUN€BING � � ` <br /> QMECHANIGA� � � VALUATIO OF NIECHANICAI.INSTALlAT1{�N <br /> � QGAS Q ROQFING Q SPEC1 3l.'FY �� t}THER <br /> FINISHED FLOOR ELEVATIqNS FLOODI ZONE AREA QYES NO <br /> � <br /> BUi�DER v CC�MPANY f�� fT DiLf '�'r <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�� ,Y/N <br /> Addr�ss � Gcense# r— � <br /> ElECT121C1AFt C MPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Addre�� License# �� � <br /> PIUMBER C �MP.A1�lY <br /> SIGNATURE Re�aISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � i� <br /> MECMr4l+i1CA4. COMPANY <br /> SIGNATURE RE�ISTERED Y/ N FEE cuFtRen Y/N <br /> Address � License# �� � <br /> OTFiER CONIPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address � License# �` � <br /> RESIDENTIAI. Attach(2)Plot Plans;.{2}seis of Btiilding Plans;{1}se�of Energy Forms;R-Q-W Permlt tor new constsuction, <br /> Minimum ten(10)wpricing:days aftersubmlEtal date.• equlred onsite,Constructian Plans,StoRnwater Plans w/Silt Fence instailed, <br /> Sanitary FaciliUes&1 dumpste.r,Site Work;Rermit for subd(visionsAarge proJects <br /> COMMERCIAl. Attech(3}camplete se#s of Bu9td#tig Plans plus a t,ife Safety Page;(1}set of Energy Forms.R O-W Permtt for new construct�on. <br /> Minimum ten(10)working days after submlttal date. i�equlred onsite,CansVucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpstar.8ite Work Parmit tor 11 new proJeots.All commercial requlrements must mest complfance <br /> SIGN PERMIT Attach{2}sets of Eriglneered Plans.,, ° <br /> ..««�,ROPERTY SURVEY required for all NEW const ctlon. <br /> Dkeatlans: <br /> FIII out applicatlon completely. <br /> Owner 8 Contractor sign back of appticadon,notarized <br /> tf over�2500,a Notice of Camrnencement is raquired, (AlC upg des over:67500) <br /> `" Agent(for the contractor)or Power of Attamey(fo�the owner)wauld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMtTi1NG `(Front`df'7�ipplication:Only)'� �;'���;�,,.�-' <br /> Reroofs ff shingles Sewers Service Upgrades�..A/C„ „ Fen'ces.(PIoUSurvey/Footage) <br /> , � .. :,, . ,, ,, =;i <br /> � <br /> Driveways-Nat over Counter if on pubiic roadways..�'eed's,ROW ; <br /> ;� .�. , .. . . <br />