Laserfiche WebLink
r. w.,���780-002o Ci�y o�ZephyrhiEls Permif AppBication Fax 813-780-0021 <br /> � Buiiding Departmeng <br /> i . <br /> Date Recelv�d �� ° Phone Contac4 for Permittln I � �o� — ��� � <br /> Owrner's Y�ame �� . . Owrnee Phon�Rlur�ila�e <br /> Owner'�c�dc9ress lA.l C� � �' Owrner Phon�Plumb�r <br /> �ee�Impl�71�I�holdee RCame Owrn�r Phon�6�umfber � � <br /> F�e Si�sn�le Tt8l�holder Adldr�ss <br /> �o�,����ss (,� � ��I � • Lo�� �� <br /> su���disio� ��cE�io� - - o� I'OO l 0 -�O�I C�J - �(�(� <br /> (OBYAIIdED FROBB PROPERTYTdX NOTICE) <br /> WlORK PROPOSED , e NEUU CONSTR 8 ADD/ALT Q SIGfd � Q DEMOLISH <br /> IiVSTALL REPHIR <br /> PROPO�ED USE � SFR Q COMM Q OTHER <br /> YYPE O�COId9STF3l9CTiOR9 Q BLOCK " Q FRRNiE Q STEEL Q <br /> oEsc����o�o�vvo�a Y �f l (,{,�rl(�(1 �Yl -�l �� � . <br /> �UILDIRIG SIZE SC!�OOT�GE��. HEIC�WT <br /> �BUILDItVG $ . VALUATION OF TOTAL COAlSTRUCTION <br /> QELECTRICAL $ - AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBIIVG $ `��b' <br /> 1 <br /> QMECHANICAL $ V�LUAT101�t O�tf.=GHANIGAL WSTALL4TIOtd � �� O� <br /> QGAS Q ROOFING � SPECtAL"fY_� OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLQOD ZONE AREA [�YES NO �� <br /> �111LDEF3 COfl�PAl�IYY <br /> $1GPIA�URE REGISTERED Y/ N FEE CIFRf�t. ��'c�I <br /> l�d(�P�S$ LICEfiSE.�r - <br /> �L�Ci��Ci�L�� CiQ{���v " - - -- <br /> SICRIATU� � REGISTERED V/ tV - �cu�t�` Y/h. . <br /> Addlr��� License# � ' <br /> PLUiViBER CO�APMIT�' �If t l�► �� ' V Y\ (�t _ V <br /> 51CvWA'PURE � REGIS7ERED Y./-N FEECURREA- Y - - <br /> �¢9dP��s �(,� ��Cr� Y \ LlCense# W J" •�"1 �c � <br /> 4A�C�-0�aR91C�L CORRPAPII( � <br /> �ICs��+'�'19�� REGISTERED Y/ IV FEE CURREP. Y/-P1 - <br /> �dldre�s License# . <br /> 0�9�� CO�1�AR�Y � <br /> �����Y��� - REGI5TERED Y/ M.. FEE CURRE� Y I[V - - <br /> .�d�ress License# - �� <br /> �ESID�R4'�i� •Attacti"(2)PIot:Rians;(2)sets ofBuilding•Plens;(9)set of Energy�Faims;R=0-W Pemiit for new canstruc6on, - � ` j <br /> • Minimum.ten_(-10),worktng,days.aft�r,submtttal date.=Required onstte,.Construcqon Plans;Stormwater Pians w!Sitt Fence�_.��, " <br /> �Sanitary Facilities�,1.,dumps4er,Site Work Permit for subdlvls(onsAarge projects ` <br /> COf1HA��RCB�+fl. Athach(3)i�mplete sefs of�uilding Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for nevr cons�.z.�z. . <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construc8on Plans,Stormwater Pians vrl Ss7t Fersce�-��, <br /> Sanitary FaciliHes&1 dumpster.Site Work Permit for ail new projects.Atl commercial requtrements must meai campiiance <br /> Slfs'Ri PE93A�1'f Attach-{2)"sets of Engineer,ed Plans. • , � <br /> ""PROPERTY SUR1%EY required for all IdEW cansttuction. - � - • <br /> 61recQlon�: ; . <br /> Fill out appliratlon completely. � <br /> Owner 8 Contractor sign back of applicatlon,notarized � <br /> Ig over$2300,�i�m4ice of Comm�nc�man&is r�quired. (�/C up�ra�es over gY500) <br /> � ��t(€or the contractar)or Power of AQtomey(for ttie owner)would be someone with notarized letter from owner authorizing same <br /> ( L� <br /> ° ':�"�'���'�i�R��PAITYIPiG (Front of Application Only) <br /> �;'.��� ���s Senrica Upgrades A/C Fences(PIot/Survey/Footage) <br /> p' <br /> �_:�::c,,` "�o+�`:�ry:.�:.,.�x.ezr=.x.��cc^-:�r,�ys..neads ROW , <br /> � _ ,,�:" . , .. ; .�_ <br /> �.- - :�� _ .. _-� . � � <br /> . �...: -.,. �:.. <br /> .�-- _. .� F_ _____��_ - �.___....,�..,__._. _ ..._.-. _ <br />