Laserfiche WebLink
s�s-78o-00;.:. � City of Zephyrhil(s Permit Applicatian Fax 813-780-0021 <br /> Building Department <br /> Date Recetved C�_.,C�--'��C� phone Contactfer Pet�mitting ���3 1. `� '� Gc� <br /> Owner's Name �LS`�T�,`("�� ��'C'� h Owner Phone Number � _,,,,,_, <br /> Owner's Address �J o��� ��` �\-• Qwner Phone Number ���- ��o" ���� <br /> Fee Stmple Titleholder Name �_ � Owner Phone Number �— �� <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS �7�I� �`� ��' LQT# �____�� <br /> SUSDIVtS10N � � PARCEi.ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROROSED e NEW CONSTR 8 ADdlALT � S1GN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTtON OF WBRK �. (� �T6� l�Se� l-�� /�[,uLy+ 5' �r`T 4 <br /> BUIIdING SitE �^ � SQ FOOTAGE�--_r� HEIGHT C_.� <br /> Q BUtLD1NG $ � VALUATIQN OF TOTAL CONSTRUCTION <br /> QElEGTRICAC �y; � AMP SERVICE Q PR4GRESS ENERGY Q W.R.E.C. <br /> L <br /> QPLUMBlNG �i _--_-� <br /> � �t°�ttECHANiCAL $,2 ��'� VA�UATION QF MECHANlCAL INSTA�I.ATION � �! � <br /> � ° <br /> QGAS Q RQdFiNG Q 3PECtALTY 0 QTHER 'C.)�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUI�DER �p�p�y <br /> SIGNATURE REGISTERBD Y/ N FEE CURRE� Y/N <br /> Address L.icense# �� `� <br /> EI.ECTRICtAN COMPANY <br /> SIGNATURE ,, REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# � � <br /> PLUMBER �pMpp�y <br /> SIGNATURE ,,, REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ` License# �— u� <br /> � MECHANICA� / ��..-��- C4MPAAlY �.� `�C�{" S� �J��,,�5 �. <br /> SIGNATURE `//C-��"��i � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �•C? •�}4,. ` �-(� License# ���, �`�6`5��� � <br /> �TNER COINPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> -REStDE�3'�'DA�. Attach{2}Plot Ptans;{2)seEs of Building Pians;{1)set o#Energy Fatms;R-t}-W Permit for new constructian, <br /> Minimum ten(10)working days after submittal date. Ftequired ansite,Constnuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil(Ues&1 dumpster;Site Work Permit for subdivisionsAarge proJeots <br /> COMMERCIAL Attach{3)complete sets of Buitding Ptans plus a Life Safefy Page;{1}set af Energy Forms.R-O-W Permit for new canstructlon. <br /> Minimum ten(10)working days'after submfttal date. f2equired onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstec.Site Work PeRnit for all new proJects,All commercial requirements must meat compiiance <br /> 51GN PERMIT Attach{2}sets of Engineered Pians. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> �irectlans: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> tf over 52540,a Nottce of Gommencement is required. (A!C npgrades aver a7S00} <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> �V�R THE COUNTER RERMIITING (Fron#of Apptication Only} . <br /> 2eroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> D�iveweys-Not over Counter if an public roadways..rieeds RC3W. ' <br />