Laserfiche WebLink
i <br /> e�aaeo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> .� +� <br /> Building Department <br /> t.i ± ' <br /> Oate Received Phone Contact for Pertn Itting 8�3 ��j� _ 00 Z2 x 356( <br /> I Owner's Name C l T`( b� ZEpI� Q1�1 l-(.5 Owner Phone Num6er 8� .Z�.fX?� <br /> Owner's Address S 3?i 5 � S i Q��T Owner Phone Number <br /> Fee Simple lltleholder Name �c-tY o F ZEPHYRN��GS Owner Phone Number <br /> Fee Slmple TiHeholder Addreas S 3 3 5 �/� ��E� I <br /> JOBADDRESS SS�2 Z� � STQE�T I LOT# � <br /> sueoivisioN PARCELID# �?`Z6-ai-DoZO-0030(�- 0070 <br /> WORK PROPOSED e NEW CONS7R B ADDJALT Q SIGNIxeo�PROPERTY TAIC�DEMOLISH <br /> INSTALL REPAIR I l <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OP WORK O EM�L I S �X�ST/NG �IOVSE <br /> Bl11LDING SI2E � U3� SQ FOOTAGE � 3� H�G� � STO12Y <br /> QBUILDING $ VALUATIONOFTOIALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBING $ I/_ !�� <br /> J� Ir (J <br /> •yX <br /> . OMECHANICAL $ VALUATION OF MEi HANICAL INSTALLATION <br /> QOAS Q ROOFING Q SPECIALTY IQ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOQD ZONE i REA QYES NO <br /> BUILDER COAAPANY C�-iYoF ZEPqYe2K��Ls <br /> SIGNATLRE ��Gis�aEDI Y/N �CUw�en Y/N <br /> Addreaa -rj 7� .S �� / � �i 7 Z Lic�tse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEFiED Y/ N �cuttrt�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�cls�rtEU Y/N �CUartEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y!N �cuwten Y/N <br /> Add[ess Llcense# <br /> OTHER COMPANY <br /> SIGNATURE r�GlsrEaEn Y/ N �E CuaREn Y!N <br /> Address License# <br /> RESIDENTIAL Attaeh(2)Plot Plans;(2)seb of Building Plans;(1)set of Eneigy Forms;R-0-W Pertnit for new consVucUon, <br /> Mlnimum ten(1 D)woricing days after aubmittal date. Required onsite,CansWCUon Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary FadliBes&1 dumpster,Sita Wodc Pertnit for subdivieionsliarge projecfs <br /> COMMERCIAL Affach(2)wmplete sets of Bullding Plens plus a Life Sefety Page;(1)set of Energy Forms.R-O-W Permk for new consW cdon. <br /> Minlmum len(10)working deys aftar suhmittal date. Required onsite,Constructlon Plens,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary Fadlitlas 81 dumpster.Site Work Pertnit for all new rojeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cansWctlon. <br /> Dlrectlons: <br /> Fill out applicallon completely. <br /> Owner&Contractar sign badc of applfca8on,notarized <br /> If ovar$2500,a Notica of Commencement is requlred. (A!C upgrades over 57500) � <br /> " Agent(for Uie contractor)or Power of Attomey(far the owner)would be somi ne with notarized letter Fram owner euthotizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requfred) <br /> Reroofs if shingles Sewers Service Upgrades A/C F�ces(PIoUSurveylFootage) <br /> Drlveways-Not over Caunter If an publlc roadways..needs ROW <br /> I <br /> �__,..-....__ _._-.w_u,.�_._.__.��_ _____._,____--------_._._.i______�_._.,._��. ,�. _. __._. .-- ,--�-- - ,---- -_. ______.._. <br /> � <br />