Laserfiche WebLink
; 813:�aaoozo City 'f Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buflding Department <br /> Date Received Ph ne Contact for Permlttin <br /> � 3 2� rn <br /> Owner's Name� i C� T'k' Owner Phone Number �/ - (�,2 - -^� � �2 <br /> Owner's Addnsss Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee S(mple Titleholder Address <br /> JOB ADDRES�i I�3 S A sh �A l�l� (�(Z Z2P�1/� h� 1�S �L 3 3 Sy o LOT# �� <br /> � <br /> SUBDIVISION A IPhA �lIA I PARCEL ID# 35-25=Z�-o0 5p_p0000 - 0 2�o <br /> (OBTAINEU FROM PROPERTY TAX NOTICE) <br /> WORK PROPGSED B NEW CONSTR ; ADD/ALT 0 SIGN [� Q DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED U5E Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK i FRAME Q STEEL [] <br /> DESCRIPTION OF WORK �IJ$l�/4II 2�� � O� 6+ � iN L -C�1C iT 2 � <br /> I <br /> BUILDING SIZE SQ FOOT� GE� HEIGHT <br /> � <br /> i <br /> �IL.DING $ / oz i VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ i AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUIVIBING $ I <br /> I � T � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� <br />� <br /> OGAS " Q ROOFING SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �, <br /> ifi-httttiiii-Ft <br /> G�tpi� µJATSe�J <br /> BUILDER'�A�� � ' COMPANY CG3Te/1 L�L <br /> SIGNATURE REGISTERED ' Y/vN FEE CURRE� Y/N <br /> Address (3p 6ox7814q3 D21r.w�o F�(. 32878 Ucense# LG � ISd85l/� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> II �I <br /> II PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �iiitt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building f lans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after subn Ittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanftary Faciiltles&1 dumpster;Site Wor�C Permit for subdivlsionsAarge projects <br /> COMMERCIAI. Attach(3)complete sets.of.Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after subn,�ittal date. Required onsite,Constructlon Plans,.Stormwater P _s w Sllt Fence_installed; - <br />---_-- __ .Sanitary-Eac(litles-8-1 dumpster.—Site-VVor -Pernit for=all-new�proJects;Att cvmmercial�equirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""•PROPERTY SURVEY required for all EW construction. <br /> � <br /> Directlons: <br /> Ffll out applicat(on completely. <br /> Owner&Contractor sign back of appl(cation„notarized <br /> If over bZ500,a Notice of Commencement�is requirec:��(A/C upgrades over,S7500) i <br /> " Agent(for the contractor)or Power of Attomey(for the o� er)would be someone with notarized letter from owner authorizing same <br /> OVER THE CCIUNTER PERMITTING ' (Front of Applicat on Only) � <br /> Reroofs if shin��les Sewers Service Upgrades A/C -�-Fences(PlobSurvey/Footage) <br /> Driveways-Nof over Counter if on pubiic roadways..neec�s ROW <br />