Laserfiche WebLink
' e $�saep-oo2o Gi�y of Z�p�yPhills PePmit Application Fax 813-780-0021 <br /> Buiiding pepartrnent <br /> Daee Reae3v�d ` Phon�Con4�tc4$`oP R'ermltQin �I a� — �� I ZS <br /> �wner`s��cn� ��V `i��v � QY Y 1'��J �uern�Q�hon�P9am��r ,,,_,, <br /> �wn�r's�,s9deess � I l.u�V W l��S ��' �xres�r PPaon��7sambgr � .:. � <br /> Fee simpl�YtYl�hotd��6t9am� C� � Owrner Phore�Rfumbar �� � <br /> F�e�ir�plm`Ptgl�holder�ddress <br /> JO���Ft��� ��� � ��b t...�� �D�tC� �E� ` d.07'� L� <br /> i 1� }�, nI/ <br /> �UB�lN48t��1 ���1� �i ! �v l,�'C..Y �&4�C�t�0�� <br /> . (OBTAINED FR014�PRQP��tYY TAX H0'l7CEj <br /> �o�����wo�e� , e �tEW COtdSTR 8 ��r,��r [� s«rv � [;] o�r�a��sN <br /> IPISTAI..L REPAIR <br /> P�OP����USE Q SFR [� COMM Q OTHER <br /> TYPE O�C�RRST�UCTtORi Q BLQCK " [� FRAME � STEEL Q <br /> 97ESCR@�1iBt�[d OF�tUQl2Ft ��U iC �I C�Y} ����� +�t <br /> �UILDIFIG�IYE aQ�+QC3T�fdg� h0�lCaklT C„-,_,_..,_,,.._� <br /> �BUILDIfVG �� VALUA7lQN QF TOT,4L CQiVS'I'RklCT{QP! <br /> QELECTRIC�4L ($ �� AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C. <br /> L._ <br /> QPLUMSING � �n �� �, t /�.,j <br /> �� � �t� <br /> �MECHANlCAt. $ VALUAT10N OF(riECHANiCAL INSTALLATION �� <br /> � <br /> {��as [� �oo��t�c � sP�c►ai�r 0 o-rN�R <br /> FIRiiSFiED FLOOR ELEVATtONB � FIOOD ZONE AREA QYES NO <br /> �UIL.�E�3 COMP.�IPIY <br /> �1GR1+��'IJR� REGISTEREP Y 1 iV FEE CURREl� Y/N <br /> �dc�re�s Lfcense# �i �� <br /> �LECT�OC9� COWIPAWY <br /> SIGP1Ad�1.�6�� � REGISTERED Y/ iV • PEE CURREr Y/N <br /> t�dC�P�SS L1C9ItS8# � � <br /> PLUMB�R GO�1tP�R9Y l.V l � � Y V I , L/L � <br /> �IGl�9ATUI3� REGiSTERED Y I NI FEE CURREP Y J <br /> �dd�� '�'I � l.. �� f - License# ( t-'�--'� V�'! �f�� 1 <br /> P13�CFd�IG�L COMP�VY <br /> �1CsR4�i'�l1�� REGISTERED Y I 1�S FEE CURREP � Y 1 i� , <br /> Addr�as License# � � a <br /> OYH�� COS�i�B�i�YY ' <br /> SiCs�t4�R9�� REGlSTEREd Y I �._ FEE CURRE� Y/I�! � <br /> �ddi��� Ucense# �� � <br /> ����33�R9'ilAt: Aftach{2)P16#Plans;(2)sets af-Building Piaffs;(9}set of-Energy�arms;R-O VtJ Pertnit for new construc6on, <br /> Mlnimum ten{74)wcrking tlays after.subrrii#tat daie. Requlred onsite,Canstrt�ctian Plans;Starmwatar Pians w!Siit�ence inst�fied, <br /> Sanitary Facil(8es&1 dumpste_r,S[te Wark Rermit for su6divlstonsAarge projects <br /> Ct3M41���C0�fl. Attach(3}complete sefs of Suiidirig Plans ptus a tife Safety Page;(1}set of Energy Forrns.R-0-W PErnii for rEe+ti•c�nstruction. <br /> Minlmum fen{94}worktng days after subm€ttai date. Required onsite�ConsEnsc�an P►ans,Stormwater F�_ns wl S1t Fence insta3leci, <br /> San(tary Facllities 8 1 dumpster.S(te Wark Permit far ap new projects.A!f commeroial requirements mefst sne�-4 comg[iarice <br /> S1f�P!PE��1iT Attach(2)sets of Engineered Plans. <br /> °•°•PI20F'ER1'Y SURVEY reqv4red for alt NEW canstructian. <br /> �ir�cQlon�: - • - - - - --- •- <br /> � Fiii out appticat€oR compie#efy. <br /> � Owner�Contractoc stgn bacic af appl3caBon,natarized � <br /> if ovmr$�580,a P➢okic�ag�omcmonc�rm��r@ is requiPad. (6,lC up�e�de�over�Y500) _ I <br /> '� .��*-,�{s�,-���ntractor)or Povuer af Alttomey(for the owrner)would be sorneone with notarized letterftom owner authorizing same <br /> ` ��:�,;w;"'��;.?�te=..R PERR91TTiNG (Front of Application Only) . <br /> ���=.�'�� ���� Service Upgrades A!C Fences(P1otlSurveylPoatage) <br /> ��a..~�`:.::�~-�-:,..r_ =a`..��,.:�_.:��}�..n=�lsROW -. <br /> . ?t°s`:��fi=%i;,' ' , . ' ' , <br /> :.._ .. ._...,_,....._...,._._� _..._.__.__�...._._ .. <br />