|
813-780-0020 �ifiy of Zephyrhilis Permit Applicat�on Fax-813-780-0021
<br /> . �uilding Departrnent - - "� "'"��
<br /> . �-�—"
<br /> Date R�caiv�d •'J,� •e •� -
<br /> Phone•�ont�ct for Permittin -
<br /> / �In��' � ' �`�`.�
<br /> Ouvner's Name �. �-- �`Owner Phone AOumbeP -
<br /> _ i -
<br /> Owner°s Address (v0 I�J ,� l� Owner Phone Numb�r
<br /> I Fee Simpl�Tltleholder P➢ame � � '/L��it/� Owrner Phone tduFnber
<br /> Fee SBmple Titieholder Acidress /OOD dl X��(i�- � c�/�
<br /> JO�ADDRESS �SO �J�� 01 l LOT# �l/o�i/
<br /> SU�DIVISION PAIaCEL ID# /I�^'02�OD/'jj—'O�!?� T>�/�
<br /> (OBTAINED FROM PROPEPtTY,TAX NOTICE)
<br /> WOY2K PROPOSED NEW CONSTR ADD/ALT [� SIGN` 'Q Q DEMOUSH
<br /> B:, INSTALL e REPi41R
<br /> PROPOSED;USE [I/ SFR Q �COMAH �Q OTHER
<br /> TYPE OF COFISTFtUCTION Q/ BLOCK " Q FRAAflE [� STEEL Q
<br /> DESCRIPTION OF WORK' - (��O �t-C� �--���' � /Q - (�i�� '
<br />' BIDILDING SIZE �U���" �Q FOOTA E�' I�� HEIGHT � (� ��
<br /> QBUILDING $'f� - _�� �ATION'bF�TOTALCONSTRUCTION � _
<br /> .�
<br /> QELECTRICAL $_�'" AAAP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
<br />. OPLUMBING $ '
<br /> ��j��
<br /> QMECHANICAL $ ` VALUATION OF'MECHANICAL INSTALLATION b`�
<br /> GAS � �������
<br /> [� , Q ROOFING Q SPECIi4LTY � OTHER. �
<br /> , ��
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA QYES. ,NO � _
<br /> _ `
<br /> BUI'LGIER —_ — — _ � l`-���:_, _ .�- -- - i--Y �\ � , ��J'
<br /> j v LV�nPw�`•`I'��� �F���K�F:�:��Y.�=- -- . -,---- --
<br /> S1GN➢A'PURE REGISTERED / N FEE CURRE� Y/N
<br /> - . • ,, �
<br /> Addr��� �� '� �- ���I.:-- , �License#'/ ' c_ ��5�
<br /> , �
<br /> i ELECTttIC1l�N: ��/�/I�/� � � °COMPNPiY � , .
<br /> SIGNA4URE _REGISTERED Y/ N FEE.CURRE�•� '''Y/'N
<br /> � Address � ; :;. License:#; = ��O ��: . � ,.�&�
<br />�P �v-L(,�� . . . _ ---�,��
<br /> � �� �� �
<br /> SIGPIATURE' ' � ��-' REOGI�3TE� Y,/..N: ,.� FEE:CURRE�� Y/N, • : �ca�
<br /> . _ , �
<br /> � � LICB�S@.# , .
<br /> . ,.
<br /> e���w`c�(��� .�: ' , . ,;�"� eoM�n�nr . . .
<br /> � �2.e I�'�i��-� � , nr , .
<br /> IGP1A'PURIE REGI$TERED Y,/ Pl , FEE CURREP= . Y/:N
<br /> Addres�` , ' � . ,License# 3 .
<br />� O4HER � � - ;�� ,, . ;�' Cr� C0�1�, � ��/� r
<br /> SIGPIATURE .. , . i V .OWiPAP1Y_
<br /> EGISTERED Y/ N,_. FEE CURRE� Y/N .
<br /> Adair��s - "+" ' � ` License# ��d 2. -'!'
<br /> �
<br /> ''J � 7
<br /> RESIDEP1TIAl:�'° Attach(2).;PIot�P,lans;'(2)sets�.of�Buj�lif'g Rlan"s;(1)'set of•Energy=Fortns;'R'-O=W Permit for new'oonsUuction, � '
<br /> - _��:Minimum.teny(1;0)�woricing;days aftec:submittafdate. Requi'reil onsite;:Constructlon-Rlans,'Stormwrater Plans w/SIIt Fence installed,
<br /> � �Sanita'ry`�FacpfUes.�=1,dumpster_SiteWork,PertnitforsubdiVlsions/large.projects
<br /> COMINEFtC1Al. Attach(3)complete'se4s of8uilding Plans plus a�Ufe Safety Page;(1)set of Energy�Fortns.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilides&1 dumpster.Site Work Permit for all new proJecY"s.All coenmercial requlrements.must meet compliance �
<br /> SIGN PERMIT Attach"(2)sets of Englneered Flans:, - ��� �..�� ,
<br /> "'"PROPERTY SURVEY required for all NEW construction.. �
<br /> Directlon�: � - � �
<br /> Ffll out applicaUon comptetely.
<br /> Owner&Contractor sign back of applicatlon,notarized
<br /> If over�2500,a Notice of Comrroencement Is required. (AIC upgr�d�s ov�r$7500)
<br /> '" Agent(for the contracfor)'or"Power of�Atfomey'(for tFie owner)would be someone with notarized letter from owner authorizin�same ,
<br /> �V�R'�HE COUNTER PERMITTINIC - (Front of�Application Only) - �
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> Deiveways-Not ovar Counter if on pubotc roadways..needs ROW ' �
<br /> . _ _ . ��
<br />
|