|
..- ��I
<br /> �
<br /> $�aa$o-oa2o ` � City of Zephyrhil(s Permit Application Fau-813-780-0021 �
<br /> �, { Building Department �'' �,11�,��/�(, fJJ� �p����..f`��„ p/��
<br /> LR.! j f�'
<br /> Date Received g � `'� ��� ��� �
<br /> Phone Cantact for Perm�ttin
<br /> Owner's Name � S � /4jQ/� Owner Phone Number . f�rT�� C? �o�� i
<br /> Owner's Address ��� � ��Y� �� Owner Phone Number � �
<br /> Fee Simple 7itieholder Name �� � Owner Phane Number �— �
<br /> Fee Simple Titleholder Address
<br /> JOBADDRESS ���� I �--�/''� f'1�I,�L� f 4P LOT# ��
<br /> SUBDtVIS10N �,�"(�J1f � PARCEL ID# ���� �! 41�t.'C� G/��G.� �o��"'�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROf'QSED e NEW CONSTR� ADDIA�I' [� StGN � Q DEMO�ISH !
<br /> INSTALL REPAIR '
<br /> PROPOSED USE Q SFR Q COMM [� QTHER �
<br /> 1
<br /> TYPE'OF CONSTRUCTION C] BI.00K - Q FRAME �] STEEL Q �
<br /> . I
<br /> DESCi21PTION OF WORfC s5 �C� Ck.�A1V E"DLpi C� �1T7r1 a/y�`�� � y d1V i
<br /> I
<br /> BUlCDiNG SIZE SQ FOOTAGE HEIGHT �
<br /> �
<br /> !
<br /> Ogu��'Q��� �— � VAIUATtON OF TOl'AL GONSTRUCTtON �
<br /> L.
<br /> �ELECTftIGAL r> � AMP SERVICE Q PROGF2ESS ENEFtGY Q 1N.Ft.E.C. �
<br /> L �
<br /> QPLUMBtNG $
<br /> ° ,,... ,,,... `
<br /> QNIECHANICAL $ J �,r���� VALUATIQN OF MEGttANlCAL INSTALLATION
<br /> ��(� ��.�
<br /> QGAS Q l2QQFING Q SPECIA�TY � 4THER
<br /> FINISHED FLOOR ELEVATICINS �� FLOOD ZONE AREA QYES NO
<br /> �
<br /> i
<br /> Stlll.DER COMPANY �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i
<br /> �' I
<br /> Address License# � —��
<br /> ...., �
<br /> ELECTRtC1AN COM PANY
<br /> SIGNATURE REGISTEREb Y/ N FEE CURRE� Y/N
<br /> � Address Cicense.# �- - I
<br /> PLUMBER.: CONtPANY
<br /> SIGNATURE REGISTERED Y�/ 'N FEE CURRE� � Y/N
<br /> Address " License# � � I
<br /> I
<br /> , NIECNANICAl. ' `�- � ,. CflMPANY lT7�5�/"� I�/U� �/C=�-�VGi 1
<br /> SIGNATURE REGISTERED • , Y/ N ` FEE CURRE� Y/N ;
<br /> � i
<br /> � "l l/eit� � � � ��9�����
<br /> Adii�ess ` License.#-. �
<br /> . � �� � , l
<br /> i
<br /> .QTHER�� '' . . COMPANY �
<br /> SIGNATURE��: � � REGISTERED ;Y/.N ,. FEE CURRE�' .. Y.../N j
<br /> , ; , . , � ,
<br /> ' Address • ~ License# �
<br /> I
<br /> , �
<br /> � RES4DENTlAt,. - ;Atfactif{2}:Plaf Plans;(2)"setsof�Biiitc]ing�Plans;{1}se#o#'fne�gy Forriis;R=0-W Perinit for new�consfruction,. !
<br /> � , , , � .Minimum:ten.(10).working;days after°submitta6date. Requir'ecJ'onsite;Construction Plans,Stormwater Plans w/Silt Fence installed, i
<br /> � � } Sanitary„Facilitiess&�.1,ndumpster;Site.Wotk Permtt for'subdivisians/large projects . � , i
<br /> ;,-:.GOMMERC{AL Attach�.{2j cosnptete sets of 8ui1c1ing Planstplus a�ife Safety Page;{1}set of Energy Farms.R-O-W Permit for new construction. j
<br /> - � - � Minimum ten(10)working days after submittal date. Required ansite,Canstruction Plans,Stormwater Plans w/Siit Fence�installed, ; '
<br /> Sanitary Faeilities&1 dumpster.Site Work Permit fo%a!I new proJects.A!1 commercia!requirements must meet comptiar►ce � �
<br /> - :SfGN PERMtT AitacFi�(2}`se#s of;Engineered Plans. . ' �
<br /> '***PROPERTY SURVEY required for all NEW construckian. . ,
<br /> �.',�Di�ections: � .�;,�� ,
<br /> - Fill out application completely. �
<br /> Owner&Contraator s�gn:back af appf9cation,notarized �
<br /> tf over$2500;a NoEice of Commencement.is required. (AIC upgrades over$7500} �
<br /> *' Agent(for`'tfi'e�cbnt�actor)'orPower of:Atto'rriey..:(for�the,�awrt'er�,�lnrQ€�td{�e�omeane with notarized letter from owner authorizin sa e � '
<br /> � ��.,r:.r ''� urx3uw-�S-�+K�',k�✓�m=x'Ass''+�n2c��::Fa�.s:'aa+�+�a.g'.'�'.ar,'� I
<br /> OVER THE COUPiTER-P,ERMITT7NG- `'�`�(caPY of`contrac�,.re(�ui�ed)`;.':<. i �" �;�.a�-�,�;�z a.t,r,,;.�0'? ;,.",i;`�, �3+
<br /> ,. i,� , �, T.. h.��,�;�'e,�i� � CE ,.: ' :� .. �i
<br /> . Re�oofs if shingles Sewers Servi�e`Upgratles AIC, ,fa�.��ce�E ot/Survey/Footage) � ��. � •,�.�;:.'� ;tC!.��: r=r',;"��;<'� �- i
<br /> , �. �.t:. . . , r^.+,:8,!vi:1 a ��1•,. � it;i�� SJ:T1£;" ` �;�-�i`-� :.,'
<br /> ., r: •' .;'1a'� .: _'F, �`�� fi,''�:: 'fj..t ..r :t -� �a,.,� , . ',z '
<br /> � 3 ]i;; iitc '. . - _sj. �j:i,= + �
<br /> Driveways-Not over Counter if on pu6iic roadwa�r's.�needs RO,Wz�;,;; 4� � n;_,t,s;r;?� r. .,,���:�.r����� .-'��=`��" I
<br /> 'i .. ..^` ' s , �.,�ir�� .iGC.. LS:; �
<br /> ' _ . ., .r�,�.�.y,..��ua..��ss�3v'^a�Y'&fua! - ; .�.,�,,;;r�;{ .. ..,—., � r, ,
<br /> u. - . ,.i�:"-ti'y�,.z.�.id§.:'�ri"° „� "�`." �.. 'e" ���' ' (
<br /> I
<br /> —�._ � >
<br />
|