Laserfiche WebLink
s��-78aaoza � � City of Zephyrhilis Permit Application Fax-813-T84-0021 <br /> Bufld�ng Department - <br /> M • <br /> Date Received Phane-Gantact far Permittin �l ��� — ���� <br /> Owner's Name , �i ��C,(✓ Owner Phone Nomber D `�~�TJ"47��?. <br /> Owner's Address ��l'� �`r✓�SL�►'7)") !� p Owner Phona Number � I <br /> Fae Slmpfe Tltlehoider Mame � � Owner Phane Flumber �� � <br /> Fee Simple Titteholder Address <br /> JQB AQDRESS 4��. �/b S�G>rY� r��U �-l�t�l, ��5� �oT# � <br /> SUBDIVISION C/P,f3��11L•�E �If+�.s�y77 PARCEL lb# <�/ e�(O c�� ����` ��oZd� ��� <br /> �/�I�.,!"U S (OBTAINED FRQM PROPERTY TAX NdTICE) <br /> WORK PROPOSEQ � e NEW CQNSTR� ADD/A4.T [� SIGN� Q [� DEMOLISH <br /> INSTAI.L REPAIR <br /> PR4POSED USE Q SFR � COMM �� OTHER <br /> TYPE{?P CONSTRiJG'i'10N Q BI.00K 4 � FRAME � STEEL Q <br /> DESCRIPTlONOFWORK �X /L) /� � G Pl.7LL� e� G�d�?'? d11fG� � <br /> BUILDING SIZE �� � SQ FOOTAGE HEIGHT ��_� <br /> 08UILDtNG $ � VALUATION OF TOTAL CQNSTRUCTION � <br /> (�ELECTRICAI. �> � AMP SERVICE [� PFtOGRESS ENERGY [� W.R.E.C. <br /> QPE.UMBtNG �i--� <br /> Q{UIECNANtCA� $ ��,rl�'�i6�,,1, VALUATtOiti OF MECNANICAC lhtSTA�LATION <br /> [�FJ� <br /> OGAS Q ROQFlNG Q SPECIALTY � 4THER <br /> PlNISHED F1.40R ECEVATtONS ��� FLOOD ZOIVE AREA QYES NO <br /> BUILDER COMPANY <br /> SlGNATURE REGiSTEREO Y 1 i�! FEE CURRER Y J N <br /> Address Ltcense# � I <br /> ELECTFlICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ {V FEE CURRE� Y/N <br /> Address License# ��i ii� <br /> P[.UMBER � � CdMPANY <br /> SIGNATURE REGlSTERED Y I N fEE CURREh Y J N <br /> Address License# � � <br /> MECHANICAC �,m,Q ���jti,p� -. COMPANtY �"�JE S 1'O,O�}-l�,j� fj-5 ��jG �hl <br /> SIGfllATURE REGIST'ERED Y! N FEE CtlRREh Y/N <br /> Address License# .,�7(.�� ��7'�� � <br /> CtTHER Ci)MPANY <br /> SIGNATURE ` REGlSTEft�d Y 1 N FEE CURRER Y 1 t+4 <br /> Addreas License# �— � <br /> RESIDEN't'IAL Attacti{2}Plob Plans;.{2}sefs of Building'Plarrs;(1)set of Energy�Forms;R-O-W Permit for new consbpction, <br /> Minimum:ten(.1p)warking days after..submittal tlate. Requfred onslte,Ganstructlan Plans,Stormwater Pta�s w1 Sflt Fence lnstatted, <br /> Sanftary Facilides&1 dumpster,Slte Work•Permit for subdiVisipns/large proJects - - <br /> COMMERCIAI Attach(8)camptete seCs of$uitilirig Plans ptus a tife Safeiy Page;(1}set af Energy Forms.R-O-W Permit for new consUuatton. <br /> Minimum ten(10j warkfng days after submittal date. Requfred ansite,Canstn�cUan Pians,Stormwater P}ans wl Sitt Fence inshalled, <br /> Sanitary Facilitles 8 1 dumpster.Site Work Permit for aU new proJects:All commercla!requlrements must meet compllance <br /> StGN PERMiT Attach{2}sets af Engineeted:P_lans.;,.. �_� <br /> "•'PROPER'iY SttRVEY regulrec!iur att NEW ccnstructlon. <br /> Dlreations: <br /> Fiii out applicatlon camptetely. , <br /> Owner&Contractor sign back of app!lcatlon,notatized <br /> if over 525Q0,a Notice of Commencement is requlred. (A/C upgrades over$750q) <br /> '" Agent(for the contraotor)or Power of Attomey(for the owner)would be someo�e with notarized letter from owner authorizing same <br /> �VER THE GOUNTBR.PERMI'1'TING (Front of Application Oniy)� , <br /> Reroofs if shingtes Sewers ��-`' Ser4lce"Upg�ades;AtC Fen,ces°{PIot/Survey/Footage} <br /> Drlveways-Not over Caunte�.if on putilio rnadways..needs ROW., . � <br /> � . , �: .. ,,.,, , ' � <br /> �... .. .—, �,-�_.. <r s ..,......_.-. ., :::i.i <br />