|
8�3-�so-ooza City af Zephyrhilis Permit Application Fax 813aso-aa��
<br /> --�, Building depaRment
<br /> i. _ ' -
<br /> Date Received Phoae Contact for Permlttin —
<br /> Owner's Name ~ t �� ` � Owner Phane Number
<br /> Owner's Address Q V C„0�'1 V Owner Phone Number � ��
<br /> Fee Slmple Titleholder Name � � Owner Phona Number r �
<br /> Fee Simple Titleholder Address (
<br /> JOB ADDRES$ �' �/' -- LOT# � �
<br /> SUSD1VtSION �/ 4� PARCEL ID# � � �`�'��� 0 �}
<br /> (OBTAINED FROM PROPERi'Y TAX NOTICE)
<br /> WORK PROPOSED , e NEW CONSTR ADD/ALT Q SIGN Q [� DEMOLISH ,
<br /> INSTALL REPAIR �
<br /> PROPOSED-t18f Q SFR � COMM [� t?SHEi2
<br /> TYPE OF CONSTRUCTION Q BLOCK ° Q FFCAME � STEEL Q
<br /> DESCRIPTION OF WQRK � � e �
<br /> BUILDING SiZE SQ FOOTAGE�� HEIGHt ��
<br /> QBUII.DtNG �� VALUATION OF TOTAL CONBTRUCTION
<br />� QE�ECTRiGAI. �! AMP SERVtCE Q PROGRESS EFlERGY [� W.R.E.C. +
<br /> QPLUMBIN{3 $ ���I D �
<br /> fi'�
<br /> [_��AECNANtCAI $ 7 y�� �� � VA�.UATION OF MECHANtCA[.INSTAI.tATIt?N �
<br /> J �
<br /> QC�AS Q ROOF4NG Q SPECtAI.'1Y � OTHEFi
<br /> � FINISHED FLOOR ELEVATIONS � FL.00D ZONE AREA [�YES NO
<br /> BUI�DEtt COMPANY
<br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addre�s L(cense# �� �
<br /> ELECTRtC1AN GOMPANY
<br /> SIGNATURE �' REGIS'I"ERED Y/ N FEE CURRE� Y/N
<br /> Addres� License# � �
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N
<br /> Address license# � ` � ji
<br /> OVfECHANICAl�. C� OMPANY . � C �U` I
<br /> � SIGNATURE �EGIST�RED Y/ N FEE CURRE Y N
<br /> Address �� / /�� License# �
<br /> �i
<br /> OTHER CBMPANY
<br /> SIGNA7URE REGISTERED Y/ N , FEE CURRE� Y/N.
<br /> Address License# � �
<br /> � E2ESlDENTIAL•_, Attach{2}Plot Plans;{2)sets of Biillding°Plans;{1)sef af Energy�Form`s;R-0=W Permif for new constrvcttan,
<br /> Minimum;ten(1.0)wrorking'days after_submittal dake. Required onsite,Construction Plans;�Stormwater Plans w/Silt Fence installed,
<br /> ! Sanitary Facilides&:i.dumpster,Site Work�Permit for subdivislori'sAarge proJects �
<br /> j COMMEFtCtAi. Attach(3)camplete sets of Buildirig`Plans plus a Cife Safety Page;{1}set of Energy Forms.R O•W Pennit far new conshuction.
<br /> � Minimum,ten(10)warlcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
<br /> ' Sanitary Facilitles&1 dumpstar.Site Work Permit for all new projects.�Atl commeraial requUements must meet complfance
<br /> i S1GN PERMIT Attach{2}sets of Erigineered P1a�s. ��
<br /> ! "•"PROPERTY SURVEY required for all NEW construcUan.
<br /> � !}irectlons:
<br /> I Fill out applicatlon completely. �
<br /> Owner�Contractor sign back of appftcatton,natarizei! '
<br /> � tf aver 52500,a Notice of Commendement is cequired. (AIC upgrades over;7500)
<br /> i , � .
<br /> � " Agent{for ttie contractor)or Power..of Attomey(fa�the�own,er)wauld be someone with notarized letter from owner autho�izing same
<br /> DVER THE COUNTER PERMI'i'TtNG (Front of-Applicatirin Oniy) ° �,' -
<br /> Reroofs if shingles Sewers Service Upgrades A/,C.,,,.,a,Fences�(PIoUSurvey/Footage) , ,�a � ,� �� , � � •
<br /> ., r..wJ•...� ..•.�...j'�-' .. �. 1; S' . `" . . ''
<br /> Driveways-Not over Counter if on�public,rQ.adways..need,s;ROW�� . � � . .,, ��,` � .;� ` � , `
<br /> ' ' ��r� . , .ar;; - � ; - ,,,,., ..� ,... ,. ., . . _ ., -
<br /> .�,,,.�. .. ..�_.. ._ M-.,.,..._<_..».:.-;,F��..=a
<br />
|