|
8�sasaoo2o City of Zephyrhilis Permit Application Fax-813-780.0021
<br /> Building Departrnent . �
<br /> Date Recelqed ,/� �_ _�' .. phone�Contact�forPermittln �� O � - J� �
<br /> Owner's Name �U�/�i d��TU� Owner Phone Number � � � ��.
<br /> Owner's Address � /_ � Owner Phone Number �
<br /> � ' , � ;
<br /> Fee SimpleiTltleholderName Owner Phone Numbe� '
<br /> Fee Simple;Titleholder Address �
<br /> �
<br /> JOB ADDRESS /7� �7 /-�O`V L LOT# �
<br /> SUBDIVISION P.ARCEL ID#
<br /> ' _. , , (OBTAINED FROM PROPERTY.TAX NOTICE)
<br /> WORK PRO,POSED � NEW CONSTR ADD/ALT` Q SIGN Q Q DEMOLISH
<br /> �. INSTALL e, ,REPAIR
<br /> PROPOSED U$E SFR: �] 'COMM � Q �OTHER
<br /> �
<br /> TYPE OF CON3TRUCTION' " ` BLOCK ' Q FRAfV1E � ,[_] ;STEEL Q
<br /> DESCRIPTION OF WORK' y /7� � SC. �O` �
<br /> ; , .
<br /> BUILDING SIZE ' 'SQ FOOTAGE� , ,,,HEIGHT �, � �
<br /> �BUI NG �� $ O � VALUATION:OF�TOTAL CONSTRUCTION+ '
<br /> � �L -
<br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W:R.E.C.
<br /> . , . . �
<br /> QPL'UMBING $ '� �
<br /> r ���r
<br /> OMECHANICAL $ VALUATION OF;MECHANICAL INS'fALI:ATION ��
<br /> Q�S Q ROOFING Q SPECIALTY Q OTHER . -
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
<br /> �UILDER ` COMP%4Nlf� - � �,�/w'°
<br /> SIGNATURE REGISTERED Y/ N 'FEE CURRE '' /
<br /> Address
<br /> _ Lfcense# •�
<br /> ELECTRICIAN: _ _ � COMPANY `
<br /> SIGNATURE � REGISTERED Y/ N �e cuwten-�� ��Y/N
<br /> Addresa ' ' � . Ltcense# '
<br /> PLUMBER '� � COMPANY.� � ' ' 1
<br /> SIGNATURE' ' � � . , ;, _REGISTERED . X.L.N., p FEE-CURREA� " Y/N � �
<br /> Address . . . Ucensel# � - �
<br /> MECHANICAL` " ., : : COMPANY . � .- .
<br /> SIGNATURE• . ; ,. , : :,,.. : :.. ..: , , , : : ... .,
<br /> . ., �
<br /> ._, REGISTERED,, Y/ N . : ,,.FEECURRE� -. Y,/�N. •- �
<br /> Address� - �" , - . .���� � - r . ., . .,
<br /> ; t ... .
<br /> License#
<br /> . _ . _. . ,� , , - , ,
<br /> OTHER j� ., : , . � - _;COM.PANY � , ,
<br /> SIGNATURE �.. . - ...,,�; ,:� �.. . � . - _ . ..
<br /> ` ''" ' � `` ' �` REGISTERED` ` Y/ N... �E cuwtE� Y/N
<br /> Address, ,� r,,�, F.' -- ' • �a '`� - � ' L'icense#- . , .
<br /> �f,;.. :; ._ ,r?..a:.�,: .. .. �
<br /> ,:�- ...... -._. .:- :„ _ .-:
<br /> RESIDENTIAL; •AttacFij(2),,Plot%P;laris;';,(2)sets::of'BulldingiPlan's;'(.1)sef of'Energy�Fo`rin's;R=O=W Perrrilt for new construction, ` �
<br /> _�:.Mlnlmum:ten>(,10);worliing;days'afte�;submlEtaFdater'',.Requlreii onslte,:Constiucdon:Flans;Stortnwater Plans-w/SIIt�Fence Installed,
<br /> � ` � �SanitaryFacllttles,8;l:.dumpster�SlteWork�Permit;fo[subdivislons/largeprojects,: __;.�.;:= ' • '�� " '
<br /> COMMERCIAL Altach(3)�coriiple4e sets of BuIlding Plans plus a.Lffe'Safety�Page;(1)set of Energy Forms.R-O-W Pertnit for new consUucUon.
<br /> - Minimum ten(10)working days after submlttal date. Requlred onsite,ConsUuction Plans,Stormwater Plans w/Sllt Fence Installed,
<br /> Sanitary FacIIlHes&1 dumpster.Site Work Permlt for all newaprojects.All commerclal requlrements,must meet compliance
<br /> SIGN PERMIT AttacFi"(2)set§�of Engineered;Plans..;, �;,���:�..� �,.��._ � � � - -
<br /> "'"PROPERTY SUR1/EY reyuired.for all„NEW,consWction., _
<br /> Dlrectlons: - .. , - r. �
<br /> Ffll out applicatlon completely.
<br /> Owner 8 Contractor slgn back of appllcatlon,notarized
<br /> If over 52500,a Notic�of Commencement ls requfred. (AIC upgrades over 5T500)
<br /> ,,::�,.,:.r,�,,;_;
<br /> " Agent(for the contractor)�or`Powe�of Attomey(fo�tFie�ownerj would�be someone writh�notarized letter from owner authorizing same
<br /> DVER THE COUNTER,PERMIT'i1NG-� ---�(Front�of•Applicatlon•Only)--•• • �- '
<br /> Reroofs If shingles Sewers Servlce Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Drlvewaya-Not over Counter.if.:a,�,R�.t�Al�,r,{��dw�ys..nQeds:430W.. <,. .,,__..- . . . . . :.-..r >�.��^.~° ..
<br /> ..!�_'�'� �i;'i=;e4h'l.f�1;�'.'? , . . . . .. ,...;.'„-,. .1., , `
<br />" it��. " } !."!r (!ry� ., • .
<br /> , :i'.,.. .;c;.. , � � .. :
<br /> , f�J,-... "� .. .. !� . - ,. _�_.�� .� ..
<br /> � . . �: - _ : .. ....... . ... , ' ' ,
<br />
|