Laserfiche WebLink
�ox�1o�uVuoo� <br /> o1o�8o�u2o City of iUsPerDlitAoo|icaUon <br /> Building Department <br /> . . <br /> Date Rec �� <br /> Permitting <br /> n n-x�x-x�x-nn- x x x n n-���mw-nn-un�n v <br /> Owner's Name HINEMAN WILLIAM Owner Phone Number 813-395-8742 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F 37355 DERBYSHIRE DRIVE,ZEPHYRHILLS uOT# <br /> Suoo|V|S|m0 PARCsL|o# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mswcomaro Aoo/ALr F---1 G\Om �—� �—� DEMOLISH <br /> R INSTALL �_� REPAIR <br /> PROPOSED USE �--1 Srn �—1 COMM �---1 OT*sR <br /> TYPE OFCONSTRUCTION �--| BLOCK �—1 FRAME �--1 STEEL <br /> DESCRIPTION OpWORK REMOVE AND REPLACE SAME SIZE WINDOW 9,ENTRY DOOR 1 -IMPACT <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> —�ou|LD|mo <br /> `--� VALUATION OF TOTAL CONSTRUCTION <br /> =sLECTacAL AMP SERVICE F---| PnDonsSSswsRov r-� vuplE.C. <br /> [--�p�u�o|m� <br /> __� <br /> �v�u~ <br /> [--��ECH�m|CA� �x�VAT|om�F�sC��w|oA�|NGTA�u\T|�m <br /> �� <br /> F--lGAG �—� ROOFING �-7 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [--lYES NO <br /> SIGNATURE REGISTERED L L�� <br /> Address '10741 CROSSROADS COMMERCE BLVD,TAMPA 33610 1 License# CRC1330822 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nea/arsnso � <br /> Address uoenoe# <br /> puuMBsm ooMPxmv <br /> S|omATVms nsemTcnso <br /> Address License� <br /> MECHANICAL COMPANY <br /> S|Gm4Tums nEomTcneo <br /> Address ucenvn# <br /> ..OTHER- COMPANY <br /> SIGNATURE --- <br /> - 'nso/erEneo--- -L_Ll=N=J- 'pEs-CumRSIN- _L-���_�_~___- _-_,_ <br /> Address License# <br /> xnnmxxmxxmuxnmnnuuxxmxxwxnnxxxmxnnxnxmxxmmxxwunmnxxmxxmnxnvunmnnmno <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets o[Building Plans;(1)set m Energy Forms;R-OANPnnnit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus m Life Safety Page;(1)set of Energy Forms.R-OAm Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1dumpstor.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets o[Engineered Plans. <br /> ^^°PR0PERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$26Vu.0 Notice uf Commencement iorequired. (Ao upgrades over$7*u0) <br /> � Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy m contract required) <br /> Romofsifshingles Sewers Service Upgrades *JO Fenmao(P|nVSumey/Fontoge) <br /> Driveways-Not over Counter if on public madweyo..needs ROW <br />