|
� a�s-7sa-oazo City of Zephyrhiils Permit Appiication Fax 813-780-0021
<br /> , , Building Department
<br /> �
<br /> . •a
<br /> Date Received Phone Cantact far Permitting ��� 78� - �6�✓�
<br /> Owner"s Name �� �L� � �i�.��' Owner Phane Number �l���O �"02�
<br /> Owner's Address �O ��� � Fl���� �.d, �� Owner Phone Number � �
<br /> Fee Simple Titlefiolder Name Owner Phane Number �! �
<br /> Fee Simple Titlehoider Address
<br /> JOB ADDRESS �7�f..� tK l2 LOT# ���
<br /> SUBDIVISIQN �Tx ��N �� PARCE�tD# �`� �� ���' ��'p� !1f�t�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK RROPOSED NEW CONSTR ADDIRLT � SIGN Q Q DEMQ�ISH
<br /> e iNSTALL REPAIR
<br /> PROPOSED USE Q SFR CJ CC?MM � (?THEFt
<br /> TYPE OF CONSTRUC7iON Q BLOCK � [� FRAME � STEEL Q
<br /> DESCi21PTtON OP WQRK ��S ���' G+�N' e�D ZG�"T- ��✓a2 I d7� � � G'�lJYY?� �3'�c?A?Fr
<br /> BUICCtINfi SIZE �— � SQ FOOTA6E� HEIGH7 ��_____�
<br /> QBUIL.QING � � VA�UATtON QF TOTAL GONSTRUGTION
<br /> �ELECTRICAL � � AMP SERVICE � PRQGI2ESS ENEFtGY Q W.R.E.C.
<br /> QPLUM8ING $�' �
<br /> �.,._„_,,.
<br /> �MECHANICAL $ «r��' �� VALUATION QF NlECNANICAL INSTALLATION
<br /> 4F
<br /> [�]GAS Q ROQFING Q SPEGlAL.7Y � QTNEl2
<br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA DYES NO
<br /> BUILLIER COMPANY
<br /> SIGNATURE _w REGI6TERED Y/ N FEE CURRE� Y/N
<br /> Address License# �^ �
<br /> ELEC7RtG1At�i CON2PANY
<br /> , SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> , Address Cicense# �_ { �
<br /> PLUMBER, CONlPANY
<br /> SIGNATURE REGISTERED Y-/ N ' FEE CURRE� Y/N
<br /> Address ' License#'�� �
<br /> MECNi4NICAL �(/��- "���J� COMPANY �1���S P e �� � G..=—tV G�
<br /> SI G N A 7U R E �r R E G I S T E R E D Y/ N ' F E E C U R R E� � � Y/N
<br /> aaa«SS ���j �'��elti} �a'��,� Licsns.e.# Ge��T� g'�� �
<br /> :� ,
<br /> OTIiEFt e .., COIMAt?ANY �
<br /> SIGNATURE:•- REGISTERED ,�Y./.N Fee cuR�n• ,. .Y./N
<br /> Address , License# � �
<br /> RESI4ENTlAL A#tach,(2}P!o€P.lans;{2}:s`'efs of-Building=Plans;r{1}`set of'Energy�Fbrm's;RRQ-W Permi#for new construction,
<br /> . Min.imum_:ten'(10).working;days after submittal�dafe. Required onsite,Canstruction Plans,Stormwater Pians w/_Silt Fence installed,
<br /> ' Sanitary.:Facilities.&*1-.dumpster,5ite Work Per'mitfor�sub'divisions/large projects ' -
<br /> .GOMM�RC1,4t. Attach'{2)comptete se#s of 8uildirig Ptans plus a Life Safe#y Page;{1}se#of Energy Forms.R-Q-W PeRnit for new construcEion.
<br /> �� Minlmum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/�ilt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�aU new projects.A!I commereial requiremenfs must meet compliance
<br /> SI�N AERMIT ;4#tacFi�(2)sets o,f:Engineereti Plans.
<br /> � *"""PROPERTY SURVEY required for.aII.NEW.consUuctlon. " �
<br /> Olrectians: , . - _. _..,
<br /> Fill out application completely.
<br /> Otirner&Contractor sign.back of applicat'son,notarizec!
<br /> lf aver$2500;a Natice af Commencement is required. (AtC upgrades`over$750d)
<br /> *` Agent(for'th'e co' � f� t c wpuld be someone with notarized letter from owner autharizin same
<br /> ��..af��?i7��Y.�!�'i�.�,��!�►�,.�v 9
<br /> VER T E C '" °'��.3�#�`;'s��• �� �t' �:�,�s��e��.�+.at3�
<br /> O H ;OUNTE ERM�1T�t'�i�G F(copy of confrac't��ef�uire�j y; '�`�u,,,{�;:F�PLq;..�.n;,#;',7�'2 �°,:'g�:,',�;,n, �
<br /> Reroofs if shingles S�wers`'{' °�`S'enrice lJpgra�cles A%C �F�nces(PIoUSurvey/Footage) � ,,,,. },r:i��a,� �NE�;k,:fi,,t�to{� "".��x'�- 4,,;"•• �
<br /> � t.� � ' �:� y,:;,., i:.�:,:�� ;' . i.,_. :'_. ;; • _ r„
<br /> driveways-Not o r Counte�if bn puti(ic`�oadways.:needs R0� �� -_,.,���,��'k�7 +t'?:�rt�v;� ��°` ��`
<br /> � "?.ih 1'i.� '° ., , •�il�l"�, '1C::)";. ,� acN'' � 7`;Y•�L��•t�t�t�LP.�:{f':4414';±1 , .,- , d
<br /> :*Y�7{jxr;c,:,-<;f.: _- �:'mCi�'tw,'o�"�v:3?''-7�� �'S .�,:�i�+.lEyiit6fj?)�:6i�i!:�1'1:.";�yl'.�l;:� �•�' h':
<br /> �,, x�'="�{§'�"'k��:'-`�;k:""„F"'�
<br />
|