|
�s��-�eaaozo City of Zephyrhilis Permit Application Fa�-813-780.0021
<br /> Buitding Departrnent
<br /> Date Race[ved ' Phone-Conta�'=for Permittln ,. , . . .. . .. , . . ,
<br /> Owner's Name S�71 ���� - Owner Phone Number '
<br /> Owner's Addrass r0�l o ��l'�l�JOOIG� Q- Owner•Phone Number � �
<br /> Fee Simple Titleholder Name r� � Owner Phone Number � �
<br /> - �
<br /> Fee Stmpla Titleholder Address "'
<br /> JOB ADDRESS ��/�� �/��/l�v afD �JQ.. �or# ��
<br /> suaowisioN �SJ�.1�`�•� ���� PARCEL ID# ��-� ��-1-�9��°��ODd�-c��D
<br /> (OBTAINED�FROM PROPERTY TA?f N�TICE�. -
<br /> WORiC PRCipOSED '= NEWCONSTR ADD/ALT � S1GN [� [� DEMOI.ISH �
<br /> e INSTALL - 8 REPAIR -
<br /> PROPOSEI}USE Q 8FR � COMM � OTtiER
<br /> TYPE OF CQNSTRUCTION', [�� BLOCK �' �,] FRAME � STEEI Q, `
<br /> �.L— �Or'- �1/r�N �J— 3�' _ �i���i9jS ��1iA/�L�
<br /> DESCRIPTION OF WORlE /L
<br /> BUt1.D1NG SIZE ���� SQ FOOTAGE ,.HEIGHT � �
<br /> ..._ QBUICDING $ �I!/ � h�;>-:F;�,_,.,.. �M. ,_�.
<br /> VALUATION aF TQ`TAL CONSl'RIJCTION
<br /> QEI.ECTRICAL $ AMP SERVECE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPl.UMBING �� ��
<br /> QMECHANICAI $ VAL.tJAT10N OF MEGl1ANICAI INSTALtAT10l�l. � � �
<br /> . - �
<br /> QGAS � ROOFING „Q SPEClA�TY.[� 4THEf2-
<br /> FINISHED FLOOR EI,EVA710NS � � FLOOD ZONE AREA QYES: NO
<br /> Btltl.DER COMPANY
<br /> SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N
<br /> Address Gcense� ���� �
<br /> E�ECTRiC1At�1 COMPANY
<br /> SIGNATURE �M"' REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address = ; Llcense# �- �
<br /> PLUMBEit . COMPANY� ° - `
<br /> SIGNATURE � , RE(313TERE0 Y/ N . Fee cu�n Y/N.
<br /> ���$$ _ ;License# �� y�
<br /> MEGHANlCAl. ` . Gt}MPAWY � ,
<br /> SIGNATURE � REGISTERED' Y;/ N FEE CURRE� Y/N�
<br /> . � � � �
<br /> Addrsss- � � Ucense# �� � �
<br /> �,,r �
<br /> OTNBR � ,/ � ,f COMAANY A. � �lrY/1� �Ot)v�/��'
<br /> SIGNATURE. �'L`�' ` ��v//`� � REGISTERED Y/ N � � �FEE.CURRE� � .,n Y:/,N .
<br /> � . . �,......
<br /> i L '
<br /> �ddress t� .F�'u'�-�' .���.�,. ° � jTf � Lir`:ense"# - ��G-Gf/=�i��l �
<br /> RESlOENTIAI:. -�A##act�:{2j:P,Iot:P.:lans;r.{2)sefs:of�8uitdlttg'Pia�is;`(1}seEof�Energji>Farins;R-O--WrPemiifforiieinr`;,coiishuc#�on,
<br /> � Minimum4tenY(�1�p);working;days,.afterssu6'mittal:tlefe:�:Re:quUed onsite;,Constiuodon��Plans;�Sto'rmwafer'Pians w/Stlt Fenqe installed,
<br /> . '. .Sanitary�FacillUes.�&�1;dumpsterSltetWocks.Pertntt[Qr.,sutidlvislonsllarge:proJects;;.:�.�<;��a� '�';, .:;. . � • -
<br /> COA�I��RCiRL Ai#ach{3}ccriiptete se#s of Bu1laEng'Plans plus a life_Safety Page;�{1)set of Energy Farms.R CI-W Permit for new constructfan.
<br /> Minlmum ten(10)working days after submlttal date. Required onsite,Construction Plans,Sfornrwater Plans w/Silt Fence installed, -�
<br /> Sanitary Facilitles 8�1 dumpstef.Site Work Pertnit for all:new'sprqJects:Al!cammercisi.requf�ements must mesi comp{lance
<br /> SI�N.FERMtT Attadi{2j sefs iif Eng`,i`neer,ed:Ptans:�;:r;;-��, ... _ ... .� ..
<br /> . . .
<br /> "'*"PROPERTY�UR17EY reguired,for;all,NEW canstruction.,.
<br /> Dlrec:tlons: ;:.< ._
<br /> Flll.out applicaUan completely.
<br /> C?+nrner 8�Contrackor sign back-of applica�on,notarized
<br /> if over.�?.500,a NotCce of Commencemant Is required. (A/C upgrades over 57500)
<br /> " Agent(for th'e con�'tractor)'or:Povuer of�%�tforr�ey(fo�the owner)would be someone with notarized letter from owner authorizing same
<br /> ' dVER THE COUNTER�P.ERMITflNG«- - (Fron#:of-Application Only) - • f -
<br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Faotage)
<br /> „ , .. .. ._ _ __, .. . - ---.
<br /> _,_.,� -. _ . , , .�
<br /> Driveways-Not over Counter if an pubiic roadways::needs itOW
<br />
|