Laserfiche WebLink
a13-7so-oo2o Clty of Zephyrflills Pemlit AppliCatiorl Fax-613-780-0021 <br /> Buliding Departrnant <br /> 1 ' 2 <br /> D:M�f�ecelved PhoneContactforPermNtln� ' � �lJ�— ���� <br /> � 1 � 1 � 1 ! � Q.� <br /> pu,r�p��o � Owner Phone Plumber p I ������ <br /> Ovmors Addroea� /�/� Iv0 �� � -yl Owner Phorte Number <br /> Fm:timpb Tidehalder Neme � Owner Phone Number <br /> Fae.3�Imple Tffl�holder Address � <br /> JQE�ADDRESS �r� IZP � LOT# �J <br /> SUFIDIVISION `u�' S I � � PARCEL IDA� 1 •ab i�l•D � �0 D <br /> �ner�n+m Frm�rnoreaTr r�x konc� <br /> WOItKPROPO3ED NEW�:ONSTit ADD/ALT Q SIGN Q Q�OEMOlISH <br /> B INST.4LL 8 REPAIR <br /> PIROI�OSED USE [� SFR Q COMM Q OTHER <br /> TtP'�OF CON9TRUCTION Q BLOf:K Q FRAME Q STEEL Q� / <br /> D�lIL'RIPTION OF WORK �I�� IL � v ���� ���� <br /> BUII.DiNG 81ZE (Z x �� SQ FOOTAt3E� HEIGHT �� <br /> '7'7'• '�"r'�'�"PfTI' <br /> BUILD�NG 8�,��� v� VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> DELECTRICAL �� AMP SERVICE Q PROCiRESS ENERGY Q W.R.E.C. <br /> QPLUMBIfVt3 �� ' ' � ��f <br /> OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION �� �, <br /> �r,qg Q ROCFlNG Q SPECIALTY � OTHER �J � I <br /> FINI.�iHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO � � <br /> �iNl <br /> BUILDER � COMPANY Q�� GVU� a�rdP�l��l� <br /> $IGI IIATURE REu�srErtED ' Y 1 N r'EE cuRREn Y 1 N <br /> Addrvsa 7 7 Il�1��4� ��1CL 329 Z� lrcense# C 1Z.0 132.�}S��Z7 <br /> �L�f�CTRICIAN � COMPANY <br /> P�1GI NATURE �f r�ois7eRen Y 1 t3 FEE cURREn Y/N <br /> Address � License# <br /> PLIIMBER � COMPANY <br /> Fi1Q IVATURE Reols�o Y f N FEe cur�en Y/N <br /> �dn� Licansa# <br /> ME!I:HANICAL � COMPANY <br /> 2NIi�P1ATURE r�cisTeaeo Y! N r�cuartEn YIN <br /> Address Llcense fF <br /> t)1'FIER � COMPANY <br /> !lII;iNANRE RECii3TERE0 Y/N FEec�aitEn Y/N <br /> Addres� � License# <br /> II111111111111111At111111111111111111111111f1t111t111111IfIt111It11 <br /> REi;{IDENTIAL Attech(2)Plot Plens:(2}sats ot Buflding Plarts;(9)sat of Energy Fortns;R O-W Permk for�rew wnsUucUon. <br /> Mlnimum ten(10)xrorking duya efter submittel dete. Requhed o�site,Conshuction Plena,Stortnwater Plans w!SAt Fence insmlled, <br /> 3enHery FacIIIGea&1 dump�ter,Sfte Work P�rrnft for subdivislonsAarge proJects <br /> �C(;�MMERCIAL Attach(2)complete sets of Iluilding Plens plue a Llfe Safery Paga;(1)set af Energy Fortns.R4W Parmit for new constructla�• <br /> Mlnimum ten(10)woAcing di�ys efter aubmftte�date. Required anslte.Construotlon Plens,3tortnwater Plans w!311t Fence instelled, <br /> Sanitery FadllUea&1 dumpsteu SRe Work Permit for ail new proJecffi.All commercial requlremaMs must meet compllence <br /> SIIiN PERMIT Attech(2)sets of Englneerei Plans. <br /> •"'pROPERTY SURVEY re quirsd for all NEW conatructfon. <br /> .�i� - <br /> �iroctlono:' <br /> FlII out eppllcatlon cnmplately. <br /> Owner&ConVeCtor aign back oi epplicatfcn,notarized <br /> It over S250D,e Not�ee of Commeneement Is►equtred. (A!C upgmdaa over i75oo) <br /> '• Agent(for the contractor)or Power of Atto�ney(for the ovmer)would be someone with notarized letter fiom owner authorWng same <br /> O'I�ER THE COUNTER PERMITTING (copy of contrecl required) <br /> R�,i�oois If shingles 8ewers Servlce�Jpgrades A!C Fances(PIof/SurveylFootage) <br /> ��Iveways-Not over Counter Ii on publlc madways..needs ROW <br />