Laserfiche WebLink
City of Zephyribills Permit Application FO"13-78G-M21 <br /> Building Departrnint <br /> Date Received Phone Conlad for Pamalltim it <br /> Owner's Name Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titlebaftler NACIO Owner Phone Nwnber <br /> Fee Simple TWoholder Address <br /> JOB ADDRESS i LOTIlk <br /> SUBDIVISION PAR02LID41 <br /> (OBTAWIFFROM FROPOWTAX NOTICE) <br /> WORK PROPOSED Dj ALT SIGN DEMOLISH <br /> v4ewcar'sm AD <br /> R <br /> INSTALL REPAIR <br /> PROPOSED USE sm Q GOMM Q OTHER I <br /> TYPE OF coNsTRur.TioN BLOCK 0 FRAME D STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE so FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . <br /> QBUILDING VALUATION OFTOTALCONSTRUCT)ON <br /> MELECIRIM AMPSERVICE Q PROGRESS ENERGY W.R.E.0 <br /> [=PLUh1eING Is <br /> 17-7MECH&NIM ]s 7 VALUAhON OF MECHANICAL INSTALLATION <br /> r7GAS [:] ROOFING E] SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOGZONEAREA ©YES NO <br /> BIALVER COMPANY <br /> SIGNATURE RMSTERE0 I YIN I FSECURM <br /> Address Lfcgrsse#F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE t FS sTEREo YIN FEWAim <br /> Address beens" <br /> PLUMBER COMPANY <br /> SIGNATURE RE GISTMREI) I YIN FEE CUMM Lyj Nj <br /> Address I-lome 0 <br /> MECHANICAL COMPANY [Ko5w 7!4- 7.594e,xj&X—,� <br /> SIGNATURE I Y/III Fucumv, LYIN J <br /> Address IOWC7 W;;� Z 3:3-M <br /> OTHER COMPANY <br /> SIGNATURE ReG SMM Y/N FEE cA;R Y Lij <br /> Address Llcense# <br /> RESIDENTIAL, Allach(2)Plot Plans:t2)sets ofBugdioU Plans;(I)set ofEnergy Forms,,R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal late.Required onsita.Conabruclion Plans,Sloeirwater Pie=Wir SIR Pence fratelled, <br /> Sanitary Facilities 81 dumpster Site Work Permit for subdivislonsfiarge projo(ft, <br /> COMMERCIAL Attach(2)complete sets of Bultifing Plans plus a Life Safety?age;(1)set of Energy Forms.R-O-W Perrilit for new construction, <br /> Mkftuih ten(10)working days after submittal date. Required onsitO.Construction Plans,Starrimater Plans w/Silt Fenoe installed, <br /> Sanitary lac iffiles&I dumpsteL Site Wa*Permit for OR new projecls.Ali commercial requirements must mool compfiance <br /> SIGN PERMIT Mach(2)sets of Engineered Plans, <br /> fl:�P=,Y SURVEY required for OR NEW mnstuctlon.. .. <br /> .. . . . . . . . . . . . <br /> obutions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> lfovor$290,alloft2 tat Conimacmentisrequired. (MC upgrades over$7600) <br /> Agent(for the contractor)or Power of Aftemay(for the ownso vxrAd be someone w3h notarized letter from am-4r authorift same <br /> OVER THE COUNTER PERMITTING (Copy of contact require* <br /> RMOIS V shingles Seam Sefuice Upgrades A/C' Fences(Plolf5urveylFoutage) <br /> Driveways-Not over Cow tot if on public medways.,naLds ROW <br />